rly, an attempt should be made to remove the growth.

_Deviations, spines, and ridges of the septum_ may produce partial or
complete occlusion of the anterior nares. In deviation of the septum,
the obstructed nostril is more or less occluded by a smooth rounded
swelling of cartilaginous or bony hardness, which is covered with
normal mucous membrane, while the opposite nostril shows a
corresponding concavity or hollowing of the septum. Sometimes the
convex side is thickened in the form of a ridge. A simple spine of the
septum is usually situated anteriorly, and presents an acuminate
appearance, often pressing against the inferior turbinated body; it is
hard to the touch. Ridges and spines may be cut or sawn off, or
removed with the chisel. Many methods of dealing with a deviated
septum have been suggested, such as forcible fracture or excision of a
portion of the cartilage. A submucous resection of the deflected
portion is to be preferred.

_Haematoma of the septum_ is usually traumatic in origin. As the result
of a blow, an extravasation of blood takes place beneath the
perichondrium on each side of the septum, and a bilateral, symmetrical
swelling, smooth in outline and covered with mucous membrane, is
visible immediately within the anterior nares. The blood is usually
absorbed and should not be interfered with. If suppuration occurs,
however, the swelling becomes soft, fluctuation can be detected, and
the patient's discomfort increases. The abscess must then be incised
and the cavity drained. It is sometimes found that a portion of the
cartilage undergoes necrosis, leading to perforation of the septum.

#Nasal discharge# may be mucous, muco-purulent, or purulent in
character. When it is of a clear, watery nature, it is usually
associated with erectile swelling of the inferior turbinated bodies. A
purulent discharge may be complained of from one or both nostrils. If
unilateral, it should suggest, in the case of children, the presence
of a foreign body; in adults, the possibility of suppuration in one or
more of the accessory sinuses. In infants, a purulent discharge from
both nostrils may be due to gonorrhoeal infection or to inherited
syphilis. Nasal discharge may be constant or intermittent. It is
sometimes influenced by changes in posture; for example, it may be
chiefly complained of at the back of the nose and in the throat when
the patient occupies the horizontal position, or it may flow from the
nostril when h