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.

    142/506 (page 122)
    touched on tlieir growing edges with strong solution of nitrate of silver, or with the acid per nitrate of mercury, and an oint- ment of dilute nitrate of mercury, or the grey oxide, kept applied in the intervals. Douching with a weak solution of permanganate of ]3otash must be kept up several times daily, and constitutional treatment will of com\se have to be rigidly attended to. Calomel YSLpowa for inhalation is very useful in these cases. Lupoid ulcers within the nose, and true lupus from without, are equally liable to invade the septum nasi. They must be. treated in accordance with the principles to be hereafter laid down (Section YIII). The ulcers resulting from glanders are very characteristic (see plate). Simple abscesses may form under the mucous membrane covering the septum; blood tumours, the result of contusions, may also occur on one or both sides of the bone or cartilage, or both. In the case of abscesses, the sooner the pus is let out the better, as there is less chance of the periosteum or perichondrium being stripped off by the progress of the purulent effusion. But in the case of blood tumour, it is better to leave the blood in its position, unless from the great bulk of the effused blood the respiration is impeded. It may not be easy to distinguish between these two conditions, but the precedent injury and the comparatively sudden ap^oearance of the swelling will be some guide to the diagnosis, and the heat and redness, which would be present in the case of abscess, would be absent in the case of injury. In the former fluctuation is easily made out, in the latter it is scarcely appreciable, unless the amount of blood effused is very considerable. In a paper on Blood Tumours and Abscesses of the Septum, in the DuUin Journal of Medical Sciences, vol. iv, pp. 16-28, Mr. Fleming gives us the following results of his experience in these somewhat rare affections :— Bloody tumours of the septum are always the result of injury. They resemble ecchymosis in other parts of the body ; they may occupy one or both sides, being sometimes flattened, sometimes prominent and much distended. They feel resistent,