A treatise on nasal suppuration, or, suppurative diseases of the nose and its accessory sinuses / by Ludwig Grunwald ; tr. from the 2nd German edited by William Lamb.

  • Grünwald, L. (Ludwig), 1863-1927.
Date:
1900
Catalogue details

Licence: In copyright

Credit: A treatise on nasal suppuration, or, suppurative diseases of the nose and its accessory sinuses / by Ludwig Grunwald ; tr. from the 2nd German edited by William Lamb. Source: Wellcome Collection.

    82/362 (page 64)
    of producing exactly the same appearances, more especially diseases of the lymphatic ring of Waldeyer (two cases of ‘ ozaena ’ from suppuration of the pharyngeal tonsil; two cases of non-fcetid crust formation and atrophy from suppuration in the pharyngeal and faucial tonsils). Exempla trahunt : Bresgen (92) published a whole series of cases, in which, diseases of the accessory cavities having been found, treatment directed exclusively to them removed the secretion. Lately I had the opportunity of increasing the number of recorded cases in which * ozaena ’ had been produced by disease of the accessory cavities ; and in one case I was able to prove that localized suppuration, even in a single meatus of the nose, may be sufficient to produce the clinical picture of * ozaena.’ Taking all the cases I have had during the last five years, or rather more, I have not found a single one without focal suppuration. I have not been able in every case to furnish strict proof that the secretion proceeded exclusively from these focal suppurations, for I have not myself treated all the cases, and those I have treated, I have not always been able to follow to complete eure. In all the cases treated, however, even those which could not be considered as cured, appropriate treatment of the local condition produced an immediate change in the secretion, nearly always an immediate disappearance of the feetor, and this at any rate is sufficient to prove the comparatively un- essential nature of the other conditions present. I give below a short account of my observations. Unless specially noted, the cases were characterized by the formation of stinking crusts in very wide nasal cavities, the affection dating back to childhood. Cure means permanent removal of feetor and secretion : 1. The case is minutely reported below, p. 69. 2. A man of 31. Empyema of all the accessory cavities on the right side. The feetid crust formation was removed, but suppuration continued in the right frontal sinus, and the patient could not make up his mind to submit to farther tieat- ment. Hence it is possible there might be a return of feetor. 3. A man of 28. Feetid crust formation for six years. Perfect eure followed treatment of necrosis in the left sphenoidal sinus.