The more frequent diseases of the frontal sinuses : clinical lecture delivered at the post-graduate medical school, Chicago / by Casey A. Wood.

  • Wood, Casey A. (Casey Albert), 1856-1942.
Date:
[1900?]
Catalogue details

Licence: In copyright

Credit: The more frequent diseases of the frontal sinuses : clinical lecture delivered at the post-graduate medical school, Chicago / by Casey A. Wood. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    watery, and he expressed himself as being more comfortable than he had been for many months. In spite of the daily packings with gauze, the opening in the sinns closed in about three weeks, leaving only the orbital pus-cavity to be dealt with. For the purpose of insuring free drainage of the latter, I had the patient once etherized, and enlarging somewhat the skin-opening above the globe, I passed a large, blunt aneurism needle, armed with a stout silk suture, to the bottom of the fistula and brought it out, through a counter- puncture fifteen millimetres from the original opening, made towards the inner canthus. A drainage-tube, attached to the liga- ture, was now drawn along this canal, thus providing a free exit for secretion and an excellent opportunity for disinfecting the pus pockets in the orbit. There is now very little discharge, and I hope to announce a complete cure of the disease in the course of a month or two. The patient's vision is 6/6 and he reads fine print with his glasses. His visual field is normal, there are no fundus changes, and, most satis- factory of all, his field of monocular fixation (as measured in the perimeter) is practically uncontracted. We have been able to do the operations above mentioned without any extensive injury to his extrinsic ocular muscles. I had an opportunity of studying a similar case, where perfora- tion of the abscess also took place through the roof of the orbit into that cavity. It occurred in a patient under the care of the senior surgeon of the institution, when I was acting as house-surgeon of the Ophthalmic Hospital in Gray's Inn Road, London. In the latter case all sorts of injections, probings, and the insufflation of powders were faithfully employed, but without lasting success. A thin, muco-purulent flow from the fistula continued as long as he was under my observation. Even where all the necessary procedures have been carefully carried out, one must not expect a cure inside of several months, and, although the patient I have exhibited to you is now decidedly better in every respect, I do not think that he will be free from all signs of the disease for some time to come.