A treatise on diseases of the nose and its accessory cavities / by Greville Macdonald.

  • Macdonald, Greville, 1856-1944.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on diseases of the nose and its accessory cavities / by Greville Macdonald. 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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    whom was composed of the worst cases. Of course it was impossible to examine such patients with instruments; while it was altogether undesirable that they should be sub- mitted to the discomfort of a digital examination of the post-nasal chamber. In nearly all cases, however, an examination was made of the anterior nares and the buccal cavity. Of this number buccal respiration was observed in 33 individuals, or in 15 per cent. In 20 of these there was a conspicuously high-arched, Y-shaped or contracted superior maxilla. Consequently, in this number there was slight additional evidence of the presence of post-nasal adenoids. On the other hand, when it is remarked that this class of patients is exceedingly prone to acute and chronic rhinitis, running from the nose being very commonly observed among them, it must be inferred that ordinary cold in the head is probably responsible for a certain amount of the buccal respiration. Moreover, Mr. Cooper assured us that snoring was only exceptionally observed among them, and that deafness was by no means common. Hence one is compelled to draw the conclusion that probably there is no connection between the aprosexia of Guye and imperfect intellectual development, at any rate as observed in these patients. Dr. Adolf Bronner, of Bradford, has made an examina- tion of school children with reference to the prevalence of adenoid growths.^ He finds the symptoms present in 8 per cent, after an examination of 250 children. So that it would appear that the growths are scarcely more prevalent in children of imperfect intellectual development than in others. Description of Figures on the Chromo-Lithographic Plate (Frontispiece). Fig. 1. Normal appearance of the nasal fossae as seen from in front, the alse being distended with a Thudichum's speculum. The inferior turbinated bodies present the normal degree of turgescence of the erectile tissue. 1 Brit. Med. Journ., Se]3tember 1888, p. 487.