Some points in the symptomatology, pathology, and treatment of diseases of the sinuses adjacent and secondary to the orbit / by Charles Stedman Bull.

  • Bull, Charles Stedman, 1844-1912.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: Some points in the symptomatology, pathology, and treatment of diseases of the sinuses adjacent and secondary to the orbit / by Charles Stedman Bull. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    sphenoid sinuses. Prompt curetting of the entire na- sal^ meatus, with removal of the spongy bones in whole or in part, is the only treatment which will lead to a cure. Unfortunately a purulent rhinitis is secondary usually to a purulent process in the ethmoid cells or the sphenoid antrum, and the treatment must be pri- marily directed to these cavities. Polypoid growths in the nose may extend into the ethmoid cells and produce secondarily many of the symptoms of orbital disease. These growths often possess a partly cartilaginous consistence. It has never been definitely determined whether all the vis- ual defects met with in connection with polypi of the nasal meatus are caused by pressure of the after-growth on the optic canal or in the ethmoid cells, and thence against the inner wall of the orbit. Whatever the cause, the loss of vision is due to pressure on the optic nerve. Tumors of the Nasal Meatus Tumors of the nasal and pterygo-palatine fossae may enter the orbit through the infra-orbital fissure. They cause neural- gia of the infra-orbital or posterior alveolar nerves. The orbital portion of the tumor may divide into two branches; one involving the orbit, and the other ex- tending into the cranial cavity through the supra-orbi- tal fissure. They eventually extend into all the neigh- boring cavities. In the treatment of these growths, it is absolutely necessary that they should be completely extirpated early in their development, together with all the sur- rounding tissues, including the bony walls of the cavi- ties involved. If a malignant tumor has already in- vaded the deep bones of the face and base of the skull, including the cavities contained within them, the case may be regarded as hopeless, and while an operation may relieve the patient temporarily, it undoubtedly hastens the fatal termination. Diseases of the Ethmoid Cells The cells of the
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