Fistula of the orbit due to disease of the lachrymal division of the ethmoidal cells : operations and cure / by G. E. de Schweinitz.

  • De Schweinitz, G. E. (George Edmund), 1858-1938.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: Fistula of the orbit due to disease of the lachrymal division of the ethmoidal cells : operations and cure / by G. E. de Schweinitz. 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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    FISTULA OF THE ORBIT DUE TO DISEASE OF THE LACHRYMAL DIVISION OF THE ETHMOIDAL CELLS ; OPERATIONS AND CURE * BY G. E. DE SCHWEINITZ, A. M., M. D. PHILADELPHIA, PA. Illustrated. In November, 1897, I presented to the Philadelphia County Medical Society \ the report of a case of abscess of the orbit which resulted from suppurating ethmoiditis, and described an operation which resulted in its radical cure. In this paper I referred to certain fistulas of the orbit above the internal tarsal ligament due to disease of the ethmoid, which Gruening J had described and cured by forcing with a strong probe an opening through their bases into the nasal cavity, and thus facilitated drainage. It is to the treatment of this class of cases that I wish to direct your attention by the following report: Kate Patterson, aged 19, born in Pennsylvania, unmarried, a factory worker, came to the Philadelphia Polyclinic in October, 1897, with the hope of obtaining relief from what she believed to be a purulent dis- charge from the lachrymal duct. History.—The family history is good, the mother being a healthy, hard-working woman. When the patient was seven years of age she had chicken-pox, followed shortly afterwards by scarlet fever. Some time later, probably when she was about eight years of age, the mother noted a small lump in the neighborhood of the inner canthus, which was poul- ticed and discharged purulent material. In 1892 she was taken to a hospital, where the tear-duct was opened and probed a number of times, but pus continued to form and to exude from an opening near the inner canthus. She was then admitted to this hospital, where she remained for five months, according to her statement the lachrymo-nasal duct being probed daily. A number of minor oper- ations also appear to have been performed, probably curettings of the * Paper read before the Ophthalmic Sectio7i of the College of Physicians of Philadelphia, March 21, 1899. \ Philadelphia Medical and Surgical Reporter, November 20, 1897, X New York Eye and Ear Infirmary Reports, January, 1896.