Intranasal operations are for the most part simple procedures and eminently satisfactory both to the patient and to the surgeon. Sometimes following cautery work, however, removal of septal deformities, and even in some cases after turbinectomy, the postoperative swelling is a very troublesome and even serious complication, giving rise to adhesions that may leave the patient in a worse condition as regards nasal respiration than before the operation. As is well known, the reaction following operation varies greatly in different patients—the mucous membrane of some being particularly sensitive to any irritant and intolerant of operative work or even of postoperative treatment. In such individuals the liability of adhesions forming even at a period comparatively remote after operation is a serious possibility.
Some cases are due to carelessness on the part of the patient or to insufficient after-treatment; this possibility, of course, is largely increased in transient patients or those from