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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![now occupied by the ulcer, whicli was opened two or three months ago by a surgeon and proved to be an abscess. This sinus was probed on several occasions by this surgeon, and about a month ago a small piece of very thin bone of about half the size of the thumb-nail escaped from it. At or about this time a foetid discharge commenced from the right nostril, and this had continued ever since. His sight was little or not at all affected. Present Condition, May 29, 1868.—In addition to the ulcer and sinus there is a slight fulness of the upper part of the cheek and side of the nose, and the eyeball is thrust a little towards the temporal side of the orbit. There is little or no overflow of tears. A probe passed into the sinus finds its way easily directly backwards to the apex of the orbit, and reaches a depth of a little over three inches. On a subsequent probing the same sinus was found to communicate with the antrum and nostril. No bare bone was felt m either direction. The nostril is obstructed, and there is a very offensive discharge constantly escaping from it. Treatment and Progress.—Injections of a lotion containing one part of tincture of iodine to five parts of water were used with the india-rubber- bottle syringe, and the effect was to cause a free flow of mixed lotion and pus from the right nostril. This was done twice or three times a-week tUl the morning of June 3rd, when he suddenly felt something in his throat and the posterior nares, which he managed to cough up, with much effort and almost choking in the attempt. The material which he brought up consisted of four or five dirty-white lumps of soft pulpy material, varying in size from that of a cobnut to that of a large walnut, and having the most abominably stinking odour. In the choking efforts to bring this up he swallowed some portion of the mass, after which he felt very sick, vomited several times, and was so much prostrated as to be obliged to kee]D his bed for the rest of the day. From this time, however, the sinus began to heal up, and by June 20th had quite closed. There was still a slight discharge from the nostril at this date, but his health had so much improved, and he suffered so little inconvenience, that he ceased attending the hospital. The examination of the decomposed mass which had been coughed up gave no evidence of any structure whatever. CASE XXXII. M. Demarquay's Case of Tumour of Antrum simidating Abscess. {See ^^Edinburgh Medical Review October, 1867.) A man, aged fifty-three, had had a swelling in his left cheek for twenty years. This for long was only a deformity, but during the last](https://iiif.wellcomecollection.org/image/b21204561_0430.jp2/full/800%2C/0/default.jpg)
