Diseases of the nose and throat / by F. de Havilland Hall and Herbert Tilley.

  • Hall F. de Havilland (Francis de Havilland), 1847-1929.
Date:
1901
Catalogue details

Licence: In copyright

Credit: Diseases of the nose and throat / by F. de Havilland Hall and Herbert Tilley. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Symptoms.—An unilateral, muco-purulent, foetid or non-foetid discharge, associated with symptoms of nasal obstruction are the two commonest symptoms. In exceptional cases, where the septum has become per- forated there may be a discharge from both nostrils. . In consequence of the irritation produced by the pre- sence of the stone there may be pain, radiating from the nose, and considerable swelling of the part, while sympathetic disturbances of the eye and ear may express themselves in lachrymation, earache, tinnitus, &c. A nasal twang to the voice and attacks of sneez- ing, giddiness, and headache may also be complained of. Unilateral hyperidrosis of the face has been noted. Diagnosis.—The nostrils should be first cleansed with an alkaline solution and then sprayed with a ten per cent, solution of cocaine. Careful anterior rhino- scopic examination and the use of a probe, combined with due attention to the history of the case, will generally enable a diagnosis to be made, which will eliminate ozsena, nasal polypus or tumour, and disease of the bones. Prognosis. —A favourable opinion can be given in these cases, as when once the stone has been removed the symptoms speedily disappear. Treatment.—The removal of a rhinolith can gener- ally be brought about by means of suitable nasal for- ceps, or by means of a loop of wire passed over the concretion. If the surgeon fails to extract the concre- tion anteriorly, it is inadvisable to push the obstruction backwards into the naso-pharynx, unless the index finger is passed into that space to prevent the foreign body falling into the larynx. Under such circumstances Sajous advises that an instrument, similar in principle to Bellocq’s sound, be passed through the nose, a piece