A Treatise on Aural Surgery

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General Books LLC, 2009 - 202 pages
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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. 1881 edition. Excerpt: ...the tonsils, the real cause of which is found in the existence of adenoid tumours, and more particularly in an excessive development of the pharyngeal tonsil. Perhaps this is the clue to the frequent want of a successful result after removal of the tonsils. I can only repeat the advice to employ physical examination in every case of considerable hypertrophy of the tonsils, accompanied by the group of symptoms which we have described. This examination immediately shows us whether there are adenoid tumours or not; and when we are informed on this point, an attentive study of the symptoms will enable us to decide which is the impediment that must be removed in order to restore to the patient the integrity of the naso-pharyux, and the organs depending on it. The interruption of the passage of air by the nasal fossa, and the alteration of the voice, are results common to both adenoid tumours of the pharynx and nasal polypus, when either of these two affections has attained a certain development. How are they to be distinguished? Physical examination will immediately elucidate the diagnosis by proving the existence of the characteristic excrescences in the naso-pharynx, in the one case, or in the other by showing that there are one or more tumours in the interior of the nasal cavities. Polypi are visible by examination of the nasal fossa anteriorly; it is not necessary to resort to the rhinoscope in most cases. While adenoid tumours are formed usually in childhood and youth, nasal polypus is found at all periods of life, more usually in adult age. Often the patient is first aware of the presence of a polypus by a sense of obstruction and the sensation of a foreign body in the nasal fossa, a sensation which is not present in the adenoid affection. The...

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