A contribution to the study of post-nasal catarrh / by Beverley Robinson.
- Beverley Robinson
- Date:
- 1875
Licence: Public Domain Mark
Credit: A contribution to the study of post-nasal catarrh / by Beverley Robinson. 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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![nostic features of each case. ]Not that, in the great majority of instances, we believe topical applications will or can reach all the diseased parts. Eor are we convinced that alone they will produce absolute recoveries; for the best we should expect from them is, that they will materially aid and accelerate the effects of systemic remedies. For our part, as might be presumed from previous remarks, we at present do not nse medicated solutions even in old cases of nasal catarrh, except in very exceptional cases, and never at all in cases of comparatively late date. Our line of conduct is traced for the following reasons, two of which have already been given, but which we shall repeat for the sake of clearness: 1st, they do not reach all parts of the nasal cavities; 2d, those parts which receive the contact of the medicated liquid are not suflQciently and favorably modified by the weak solutions, which are of necessity nsually employe(^in this way; 3d, they cause disastrous consequences in the special organs of hearing and smell. With respect to the pernicious influence of these solutions on the auditory sense and in causing purulent otitis, we camiot do better than to refer those of our hearers who are not already familiar with them to Prof. St. John Roosa's learned investigations on the subject. As regards the hurtful action of watery medicated solutions used by means of the douche upon the olfactory sense, we beg leave not to enter into explanations at this time. Let it suflice that the fact be stated, and is without doubt true. Any thorough exposition of this subject would involve an account of another morbid con- dition intimately connected with it, and that is, the greatly hypertrophied condition of the turbinated bones, which is often fonnd as a permanent sequela of nasal catarrh when it has lasted some time. The hyperplasia of the mucous and sub- mucous layers which is then found is not infrequently, in our estimation, brought about more by the irrational employment of Weber's douche, than by the catarrhal affection itself. You will remember, however, we have considered this condition of mucous membrane to be a Gomjplication of chronic follicular disease of the naso-pharyngeal space, and not an essential and ever-pi-esent symptom of the disease. Its pathology and treat- ment both differ, and of necessity, with those of the primitive](https://iiif.wellcomecollection.org/image/b22275447_0025.jp2/full/800%2C/0/default.jpg)
