Adenoid growths in the naso-pharynx / by W.R.H. Stewart.

  • Stewart, William Robert Henry, 1852-1906.
Date:
[between 1880 and 1889?]
Catalogue details

Licence: Public Domain Mark

Credit: Adenoid growths in the naso-pharynx / by W.R.H. Stewart. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    varying time, from a week or two, to months, the latter time being required when a chronic hypertrophic rhinitis co-exists. When possible, operate at the patient’s home, or wherever they are staying, or take them into a nursing home or hos- pital for twenty-four hours; or if they are obliged to go home warn them against the danger of taking cold, for in a few of my cases, where otorrhcea existed, the discharge was in- creased, in one or two instances an old one re-appeared, and in one case, a rather severe attack of acute middle ear suppuration set in, with an inflammatory condition down the sterno-mastoid, accompanied by great pain. All these complications occurred in hospital patients who re- turned home within an hour or so of the operation, and caught cold going home. They happily all'got well, but in the last case the result was some loss of hearing power. The time taken to effect a complete cure varies from a week or two to a few months—the longer time being more especially necessary when chronic rhinitis complicates the case ; but in an ordinary uncomplicated case, the patient is generally well in a week. There is one other rock a-head I might mention before sitting down, and that is an haemorrhagic diathesis. It is rare, and can to a certain extent be steered clear of, if a little trouble be taken to enquire into the patient’s history. These unfortunates must, as I said before, be treated by caustics or cautery. I have only seen one case where a complica- tion of this sort occurred; it was not one of my own, but I happened to be present, and the only way the bleeding was controlled was by thoroughly plugging the naso-pharynx with antiseptic wool, and this had to be left for some considerable time. A rather extraordinary case also occurred, I hear, a short time ago at one of our London hospitals. After the removal of a few growths
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