A guide to the examination of the nose : with remarks on the diagnosis of diseases of the nasal cavities / by E. Cresswell Baber.

Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: A guide to the examination of the nose : with remarks on the diagnosis of diseases of the nasal cavities / by E. Cresswell Baber. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    95/200 page 79
    chap, iv.] ANTERIOR RHINOSCOPIC VIEW. 70 Anterior rhinoscopic view. — The appearances seen in anterior rhinoscopy depend so much upon the amount of swelling present in the erectile body, cover- ing the anterior extremity of the inferior turbinated bone, that it will be advisable to describe them first in the collapsed, and afterwards in the swollen condition of this organ. View when the erectile body on the anterior extremity of the inferior turbinated bone is col- lapsed.—In this condition the inferior turbinated body appears as shown in figures 30 and 35. Its anterior extremity (a), the presenting part, forms a somewhat irregular undulating surface, terminating below in a more or less sharp margin which overhangs the inferior meatus. The inner surface of the body (b) (i.e., the surface next to the septum) can be traced far back, often to its posterior extremity. The greatly fore-shortened view of this surface fre- quently presents the appearance of a shallow concavity from before backwards (see fig. 35). At other times it appears as a somewhat rounded eminence (b, fig. 30). It is, of course, best seen by turning the patient’s face towards the side under examination. On account of the comparatively small size of the bone itself (see above, p. 20) this position is sometimes necessary, even found any attempt at representing these parts as they appear in the living subject. The necessarily perspective view of most of the struc- tures, and the fact that the sketch itself is a composite one made up, as in posterior rhinoscopy, of numerous views pieced together, render their representation a matter of some difficulty. It is thought, however, that these figures will be of Bervice to the rhinoscopist. Drawing of these parta is certainly to be encouraged, as it leads to accuracy of ob- servation, and by merely pencilling an outline of the appearance in any given case, it can be much more satisfactorily compared with that seen in other cases or in the same patient at a future time.
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