The diseases of the antrum : (maxillary sinus) / [Lloyd T. Lavan].

  • Lavan, Lloyd T.
Date:
1903
Catalogue details

Licence: In copyright

Credit: The diseases of the antrum : (maxillary sinus) / [Lloyd T. Lavan]. Source: Wellcome Collection.

    35/92 page 27
    Though the chief object of the rhinoscopic examination is to ascertain the origin of the purulent discharge, notice should also be taken of the intra- nasal appearances. INTRA-NASAL APPEARANCES. 1. In antral suppuration a cushion of mucous membrane, termed “ Kauffmann’s swelling,” is usually seen between the anterior end of the middle turbinal and the outer wall of the middle meatus. It is due to inflammation of the mucous membrane and periosteum of the uncinate process of the ethmoid, and when associated with a purulent discharge in the middle meatus is pathognomonic of antral suppuration. 2. In suppuration of the anterior ethmoidal cells, which is a frequent sequence of long-standing antral suppuration, polypi, granulations and large hyper- trophies are present in the middle meatus.- 3. Ulceration of the nose is usually syphilitic, more rarely tubercular, lupoid or malignant. The intra-nasal appearances of syphilitic, tubercular, lupoid and malignant ulceration are given below. (^See “ Diagnosis of a Unilateral Discharge from the Nostril.”) PURULENT NASAL DISCHARGES. A purulent nasal discharge may occur at any age from infancy to 60 years of age, after which it is rare. It may be unilateral, from one nostril only, or bilateral, i.e., from both nostrils.
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