Some points in the symptomatology, pathology, and treatment of diseases of the sinuses adjacent and secondary to the orbit / by Charles Stedman Bull.

  • Bull, Charles Stedman, 1844-1912.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: Some points in the symptomatology, pathology, and treatment of diseases of the sinuses adjacent and secondary to the orbit / by Charles Stedman Bull. 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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    SOME POINTS IN THE SYMPTOMATOLOGY, PATHOLOGY, AND TREATMENT OF DIS- EASES OF THE SINUSES ADJACENT AND SECONDARY TO THE ORBIT.1 By CHARLES STEDMAN BULL, A.M., M.D., NEW YORK. The subject of this paper may be said briefly to be the Orbital Symptoms and the Treatment of Sinus Disease. The location and extent of sinus disease adjacent to the orbit, and involving it secondarily, fre- quently decide not only the question of operative in- terference, and the nature and extent of the operation itself, but also the point whether any operation is justifiable. The frontal sinus, the ethmoid cells, the sphenoidal sinus, and the maxillary antrum are often the seat of disease which subsequently extends to the orbit. It is a well-known fact that tumors of the bones of the skull, or of the sinuses contained within these bones, may extend in every direction from one sinus or laby- rinth to another, and often exist for a long time and reach a large size before appearing in the orbit. The growth of these tumors is usually slow and insidious, though occasionally very rapid. Extensive disinte- gration of the ethmoid, sphenoid, and superior maxil- lary bones, from tumors starting in their respective sinuses, may have already occurred before the pres- ence of such a growth is manifested in the orbit by the usual signs of displacement or protrusion of the 1 An address delivered before the combined sections of ophthal- mology and of otology and laryngology of the American Medical Association, June 7, 1899.