Diseases of the nose and the accessory cavities / by W. Spencer Watson ; with special sections on diseases of the skin of the nose, on injuries, on rhinoplastic operations, and on ear-affections in their relation to intra-nasal diseases / by Robert Liveing, William Adams, and A.E. Cunningham.

  • Watson, W. Spencer (William Spencer), 1836-1906.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the nose and the accessory cavities / by W. Spencer Watson ; with special sections on diseases of the skin of the nose, on injuries, on rhinoplastic operations, and on ear-affections in their relation to intra-nasal diseases / by Robert Liveing, William Adams, and A.E. Cunningham. Source: Wellcome Collection.

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    NASAL POLYPUS. pressure of surrounding structures, it may give rise to the suspicion of malignancy. They have been removed the- size of a pigeon's egg. SmaU papiUomata are not very infrequently met with upon the inferior turbinated, the mucous membrane hav- ing become hypertrophied and somewhat pedunculated at one point. Their colour and consistence vary. Sarcomata occur very rarely in the nose. The symptoms of mucous polypus are numerous, being chiefly those of chronic catarrh of the nose, with stuffiness and increased secretion, the most distressing being the sense of suffocation experienced by some patients when the polypi are obstructing both nostrils. The sense of smell may be impaired or altogether lost. The polypus may block the tear-duct or the opening of the antrum,, and symptoms referable to these structures may be givea rise to. More important sometimes than these symptoms are certain nervous phenomena caused by nasal polypus. Of these, asthma or paroxysmal dyspnoea is perhaps the most frequent; but cough, attacks of giddiness, epilepsy and epileptiform seizures have all been recorded as excited by the growths, and cured by their removal. Treatment.—Eemoval of nasal polypi by the wire snare, is far more satisfactory than by the older method of the forceps, both to the patient and operator. It is less painful, and allows of more accurate manipulation. The most convenient instrument for polypi in the front part of the nose is Mackenzie's cog-wheel snare, requking only one hand to work it, while the other is left free for tha