Diseases of the nose and its accessory cavities.
- Watson, W. Spencer (William Spencer), 1836-1906.
- Date:
- 1875
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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![the upper edge of the orbit, an aperture close to the superciliary notch which penetrated into the left frontal sinus. A probe introduced by this opening entered directly for more than an inch before reaching the posterior wall of the sinus. Moved about in various directions on this wall, it penetrated the cranium by an aperture which traversed it ; this opening was situated opposite the external opening, but a little higher ; and, as far as I could tell, it had the same diameter. There was no other perforation in the posterior wall of the sinus, for the probe that moved over the whole sui^face was everywhere checked in its progress. As I directed the probe obliquely inwards it entered the right frontal sinus, not so large as the left, and imperforate as I had reason to believe. Both contained so much pus thtit on moving the probe about a decided sound of fluctuation followed, and a gTeat quantity of pus ran out. In order to examine T\ith more precision the seat of the mischief, I was about to saw through the skull-cap, but the crowd of people around prevented me. Havi ng asked if they knew anything which could have caused the mischief, they told me that about two years previously their friend was endeavoming to break a piece of iron with a large hammer, and that the iron, flying up with force under the blow, struck him on the upper border of the orbit near the place where the aperture which I had just discovered existed ; since that time that the patient had very frequently complained of a dull pain in his forehead like that caused by a coryza; afterwards that he had passed, by the nose, dro]3S of pus. With this exception he had been fairly well in health, and had never been compelled to give up his work. CASE XYII. A Case of Abscess of Frontal Sinus opening into the Nostril. [Demarquay, op. cit. pp. 88, 89.) A woman, fifty years of age, who had suff'ered from syphilis, had on the anterior part of her frontal bone a fluctuating and indolent tumour. Pressure being made on this tumour, and continued for some time, it caused it to empty itself ; a large quantity of pus then flowed from the nose. An afi'ection of the frontal sinus, with destruction of the anterior wall of the sinus, was diagnosed. There were besides three exostoses of the arms and forearms. This woman died from albuminuria, and at the autopsy the frontal sinus was found to be much dilated and full of pus ; its anterior wall was destroyed to a great extent; around this perforation the osseous tissue was thickened and condensed. The diploe had disappeared, the entii-e thickness of the bone being made up of a compact and very hard tissue.](https://iiif.wellcomecollection.org/image/b21204561_0419.jp2/full/800%2C/0/default.jpg)
