Labia stretching abuse The girls are subject to familial and social pressure to conform. The early recordings of the results of the practice are perhaps among the Khoisan peoples of southern Africa, where the inner labia were seen to be several centimeters longer than the outer labia. When Captain James Cook reached Cape Town in 1771, towards the end of his first voyage, he acknowledged being "very desirous to determine the great question among natural historians, whether the women of this country have or have not that fleshy flap or apron which has been called the "Sinus pudoris""; eventually a physician described
Frontal sinus trephination nerve. The pus is cultured and irrigated, and the sinus is cleared with a saline or an antibiotic solution. Extra holes are cut in two pieces of french red Robinson rubber catheter or Silastic tubing. The two tubing pieces are inserted through trephine and sutured. An alternative method is the minitrephine system manufactured by Medtronic-Xomed, in which a metal cannula wedged firmly into an accurately shaped hole is used. In case of acute sinusitis when not responding completely to medical management. During endoscopic sinus surgery, it can be used to identify the frontal sinus opening inside the nasal cavity. Endoscopically,