Aids to otology / by W.R.H. Stewart.

  • Stewart, W. R. H. (William Robert Henry), 1852-1906.
Date:
[1893]
Catalogue details

Licence: Public Domain Mark

Credit: Aids to otology / by W.R.H. Stewart. Source: Wellcome Collection.

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    patients; is more common in females than males, beginning in childhood or early life. Symptoms.—dryness and atrophy of the mucous membrane of the nasal fossae and the underlying bones. Large crusts form, producing a complete cast of the nasal passages. These rapidly decompose, giving forth an extremely foetid odour, not noticed by the patient himself. Obstruction in the nose is complained of; offensive discharge; frontal headache; smell lost; nose flattened at the bridge ; anterior nares large ; a dry glazed atrophic-looking pharynx; dry crusts are sometimes seen about the vocal cords, producing hoarseness and cough. Treatment.—Thorough washing out to remove all crusts, removal by forceps, if necessary. The surface should then be thoroughly rubbed with a strong solution of chromic or lactic acid. I prefer the latter, commencing with a 40 per cent, solu- tion of the pharmacopceial solution, and increasing up to the latter pure; scarifying the parts well before applying the acid greatly assists. An alkaline nose-wash to be used three or four times a day, succeeded by iodoform insufflations, a menthol and paroleine, or eucalyptol and paroleine spray, or liquid vaseline. Tampon of cotton wool changed three times a day (Gottstein). Galvano-cautery (Frankel). NASO-PHARYNGEAL CATAERH.—Two forms: the Moist; the Dry. The Moist.—Symptoms.—The mucous membrane of the posterior wall and vault of the pharynx is swollen and covered with a thick tenacious mucus, grey, yellow, or black in colour; a more or less constant discharge down the throat. The pharyngeal tonsil and the opening of the Eustachian tubes are swollen, together with the uvula and pillars of the fauces, and the mucous membrane covering the middle tur- binate bones. There is comparatively little discomfort. Treatment.—It is sometimes speedily cured, at others most obstinate, disappearing in dry warm weather, to reappear in the wet and cold; astringent applications to pharynx and fauces; stimulating inhalations; eucalyptol and paroleine spray to be used twice daily.