Diseases of the nose and its accessory cavities.

  • Watson, W. Spencer (William Spencer), 1836-1906.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the nose and its accessory cavities. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    SECTION IV. Ulceratiox of the Bones and Cartilages ; ISTeceosis and Caeies ; ceetain Affections of the Septum. Extension of tlie various forms of ulcers from tlie mucous membrane to tlie periosteum and bone is not a very uncommon result, when the disease has not been arrested by treatment. The Erosive Sypliilitic Ulcer sometimes attacks the septum and the other bones and cartilages, rapidly eating into them, and invadino- in succession all the tissues of the nose and nasal fossse, and in the worst cases even the surrounding bones, so that the centre of the face is occupied by a hideous chasm. Such extreme cases, however, are fortunately rare, and are only met with among the very poorest and most ill-fed of the lower classes, and even then only in instances of neglect during the early stages of the disease. The ulcers of Lupus and Rodent Cancers also attack the bones and cartilages, invading them, however, from the skin surface, eating into the alee, thence proceeding to the septum and to the more deep-seated parts. Mr. J. Wood's case (Case ]No. YII in the Appendix) is an instance of the destructive ravages sometimes caused by lupus, and of the great amelioration of the condition of the patient which it is possible for surgical art to afford him. The consideration of this subject is, however, reserved to a ,later section. Scorhutic Ulcers and Glanderous Ulcers are more rare causes of caries and necrosis of the bones and cartilages in this region. The Erosive Syijliilitic Ulcer in the soft parts has been already described, but it assumes a somewhat different aspect I