Mucocele of the accessory nasal sinuses / by A. Logan Turner.

  • Turner, A. Logan (Arthur Logan), 1865-1939.
Date:
1907
Catalogue details

Licence: In copyright

Credit: Mucocele of the accessory nasal sinuses / by A. Logan Turner. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    described, and no case of the kind has come under the writer’s notice. The distension of the antrum with occlusion of the ostium maxillare is a very rare condition, the possibility of its occurrence, indeed, being disputed by some. Cases of mucocele of the accessory nasal sinuses naturally fall into two groups. First, those in which the chief clinical phenomena are associated with the orbital cavity; and, secondly, those in which the symptoms are mainly referable to the nasal cavity. To the former belong the affections of the frontal sinus and the anterior ethmoidal cell labyrinth situated in the lateral mass of the ethmoid bone. In the latter must be placed mucoceles of the inferior ethmo-turbinated bone and the maxillary sinus. Only the cases contained in the first of these subdivisions will be dealt with in this paper. They are ten in number. Of these, the frontal sinus was affected in seven, the ethmoidal labyrinth in three; the rio-ht frontal sinus was the seat of the affection in six, and the left sinus in one; the right ethmoidal labyrinth in two, and the left in one instance. The preponderance of the frontal sinus affection m this series merits special notice, as a study of the literature of the subject goes to show, that mucocele of the ethmoidal air cells forms the larger proportion of recorded cases. Of the ten patients, seven were females and three males- their ages varied from 18 to 52 years. Five were met with in early adult life at the ages of 17, 18, 19, 28, and 33 respectively whfph •0WeJeif d!° n0t, accurately represent the age at 17 fl the affection first showed itself, as the three patients aged 17, 18, and 19 respectively, when first examined—each of them with ethmoidal mucocele—had noticed the orbital swelling so characteristic of the condition, five, one and a half, and nine years puoi to seeking advice. There was clinical evidence therefore of the existence of the affection at 12, 16*. and at 10 years of 0e. The ages of the remaining five were 37, 43, 44 51 and 52 espectiveiy In the first two the orbital swelling wis observed wo and a half and four years before the patients were examined • in the right !f 'T'® 190?’ c,omPla“in8 of a swelling E2S lhe mucous 1 Case published Edin. Med. Journ., 1903.