Nasal polypus with neuralgia, hay fever, & asthma in relation to ethmoiditis / by Edward Woakes.

  • Woakes, Edward, 1837-1912.
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Nasal polypus with neuralgia, hay fever, & asthma in relation to ethmoiditis / by Edward Woakes. Source: Wellcome Collection.

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    bone; it was also freely movable upwards and downwards along the dividing sulcus, which was thus recognised to be coextensive with the long diameter of the mass. In the course of further observation of these divided growths, it was not long before reddish proliferations similar to those above mentioned were seen to make their appear- ance from between the apposed surfaces of the cleavage line of the tumour, and these in time assumed the aspect of ordinary mucous polypi. Searching in new subjects for still earlier indications of this morbid process, it became apparent that small bosslike projections were common enough on the presenting aspect of the middle spongy process. These in some cases dis- appeared under the treatment to which the patient was submitted for other symptoms, but in some the enlargement progressed until it involved the whole visible surface of the structure affected, and attained at length the proportions of the smooth firm tumour which first attracted attention. Throughout the time occupied by these observations frequent explorations were made with the fine probe, the result being that indications of exposed bone were met with prior to the stage at which it was first detected, and which one now knows to represent cleavage of the mass,—and in other parts of the tumour than was then noted. From a clinical point of view, then, all the foregoing features had been estabhshed before any knowledge of the exact nature of the morbid processes operating to cause them—their true pathogenesis, in short—had been more than surmised. On this clinical basis, however, the author felt justified in calling the disease whose early characteristics have just been traced. Necrosing Ethmoiditis. Sometimes he spoke of it as Proliferating Ethmoiditis, or, shortly, as Ethmoiditis. The connectivity of these observations only