Chronic suppurative dacryocystitis and its radical treatment : read before the British Medical Association, Toronto, Canada, Thursday, August 23rd, 1906 / by Fred T. Tooke.

  • Tooke, Fred T.
Date:
1906
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Licence: In copyright

Credit: Chronic suppurative dacryocystitis and its radical treatment : read before the British Medical Association, Toronto, Canada, Thursday, August 23rd, 1906 / by Fred T. Tooke. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    during a partial or complete obliteration in its lumen. The cause of the engorgement of these veins can gener- ally be attributed to some defect in the nose, in the neigh- bourhood of the inferior and middle turbinated bones. Stagnation may be produced by the ordinary cold in the head in its acute or chronic form ; other varieties of rhinitis, as the scrofulous and luetic, may also be held responsible for a blocking at the nasal duct. In cases of atrophic rhinitis with ozaena, scar tissue formation in the mucous membrane about tne nasal duct may prevent the passage of tears. A second variety of causes from a nasal origin directly accountable for daerjocystitis are ulcers of various kinds, particularly the scrofulous and the syphilitic ; lupus is one of these. When these disappear under treatment scar Fig 1.—a. Thickened sac wall; b, small lumen : c. stricture; d, round cell infiltration of mucous layer ; e. infiltration of sac wall with increase of vascular elements ; F, epithelial debris. tissue remains and serious sequelae are likely to occur- When the bone in the neighbourhood of the nasal duct as well as the mucous membrane is involved the condition is Btill more serious. A third variety of causes of nasal origin producing stagnation are tumours; the commonest of these are polyps. During the past six months I have collected a series of 16 cases of chronic suppurative dacryocystitis from the Ophthalmological Clinic of the. Royal Victoria Hospital,