The Post-Graduate (Volume 18)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1903. Excerpt: ... duction in the trachea of a bland oil by means of a syringe with a long canula will often produce equally gratifying results where all forms of expectorants have failed. Sinus Diseases.--Is is possible, however, in the knowledge acquired of the accessory sinuses, that the most marked progress has been made. It was formerly held that the purulent discharge from the nose was a symptom of rhinitis for which the spray or syringe was ordered; generally without more than temporary benefit. It has now been fully demonstrated that the purulent discharge rarely proceeds from the nose itself, but that it is generally a symptom of disease of one of the accessory sinuses. The frequence of such disease is being more and more recognized at present and every careful observer will not fail to inquire into the condition of these cavities in any case of prolonged discharge from-the nose. Where formerly ignorance lead to fear in any operative procedures addressed to these parts, to-day we know that all of them can be attacked with comparative freedom from danger, and while we are far from understanding the full significance of the pathological conditions and much yet is to be learned, most gratifying results from operative measures are continually being secured. Laryngcal Tuberculosis.--The last decade has seen a considerable change of views regarding our treatment of tubercular laryngitis. At one time we believed very strongly in the value of surgical treatment to the larynx; operators in Germany as well as in this country advocated the radical removal of the tubercular disease. Further experience has not seemed to warrant the employment of such radical measures and in our experience they are rarely made use of. We believe it is becoming more and more generally held by tho...