Unusually large nasal poylpi, with remarks on the methods employed in their removal / by Dr. Walker Downie.

  • Downie, J. Walker, (James Walker), 1855-1921.
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: Unusually large nasal poylpi, with remarks on the methods employed in their removal / by Dr. Walker Downie. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    Reprinted from the Glasgow Medical Journal for August, 1S90.'\ UNUSUALLY LARGE NASAL POYLPI, WITH RE- MARKS ON THE METHODS EMPLOYED IN THEIR REMOVAL. * By Dr. WALKER DOWNIE. C The specimens which I bring before you to-night are, from their size, so much out of the usual run of nasal polypi, that I thought their exhibition would be of interest to the Society. The one marked 27 was removed from an old lady 74 years of age. She was first seen by me about the middle of April 1889, when she complained of obstruction in the left nostril of many years' duration. She was under the impression that the obstruction was the result of a blow on the head received in early life, and she had become in great measure accustomed to the obstruction. Within the previous 12 months, however, she had had frequent attacks of epistaxis from the affected nostril, and it was mainly on account of this latter symptom that she called upon me. On examination, a large mucous polypus was seen, which completely blocked the left naris, projecting slightly anteri- orly, and also making its appearance in the post-nasal space. On pressing it aside with a nasal probe, the surface of the septum, against which the polypus pressed firmly, was seen to be eroded, and I concluded that the hsemorrhage had its origin there. Notwithstanding her advanced age, I recommended removal of the polypus as the only effectual means of checking the haemorrhage, to which she consented later on. Towards the end of June of same year chloroform was administered by Dr. Reid, and by means of a pair of strong forceps I removed the polypus now shown. The limbs of the forceps were placed in position, grasping the lower edge of the middle turbinated, from which it sprang, and which, by * Read before the Southern Medical Society, 24th April, 1890.