File:A manual of diseases of the throat and nose - including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx (1880) (14596289679).jpg

Identifier: manualofdiseases00mack (find matches)
Title: A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx
Year: 1880 (1880s)
Authors: Mackenzie, Morell, Sir, 1837-1892
Subjects: Otolaryngology Nose Pharynx
Publisher: New York : W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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bone exhales a horribly offensive odor, to which the term "ozæna," now
limited to certain forms of dry catarrh (see p. 229), was formerly applied.
In such cases the discharge from the nose is generally abundant, and is
often of a blackish color, and the most careful washing away of the dis-
charge by irrigation or spraying fails to get rid of the stench. Should the
vomer be extensively involved, the bridge of the nose may fall in, causing
a characteristic flattening, as if the organ had been crushed, while if the
cartilaginous portion of the septum is destroyed, the tip of the nose sinks
in and becomes flattened, and hangs loosely from the bony part of the

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^1. Spillmann: Diet. Encyclopéd. des Sciences Médicales, t. xiii., 1me. part, p. 39.
^2.Syphilose pharyngo-nasale, Union Médicale, 1877, t. i., p. 342.
^3. Quoted by Lancereaux : Treatise on Syphilis, Syd. Soc. Transl., London, 1808, vol.
i., p. 174 et seq. ^4. Ibid., p. 175.
^5.Spillmann: Op. cit., p. 38. 6 Prager Vierteljahrsschr., 1850, xxiii., 2, p. 20.

SYPHILITIC AFFECTIONS OF THE NOSE. 277

Text Appearing After Image:

nose (Fig. 85). Occasionally the whole substance and framework of the
feature is disintegrated, and it is represented only by two small apertures
surrounded by cicatricial tissue. The disease may extend to the superior
maxilla, may destroy the bony walls of the lachrymal canal, or slowly eat
away large portions of the ethmoid and sphenoid bones, the basilar process
of the occipital bone may entirely
perish by slow caries, or large
pieces of these bones may be
thrown off by rapid necrosis. The
cranial cavity is indeed sometimes
laid open, and, if this occurs, it is
generally soon followed by fatal in-
flammation of the brain and its
membranes. In a case related by
Trousseau,¹ a large piece of the
ethmoid, constituting about a quar-
ter of the entire bone, almost suffo-
cated a patient by falling unex-
pectedly into his throat. He died
on the following day with acute
cerebral symptoms, due, no doubt,
to the disease having spread to the
brain or its coverings. Brodie²
and Graves mention instances in
which the disorder, having ex-
<br
Fig 85.—Flattening of the nose from destruction
of the cartinagilous septum by syphilitic desease.
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