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fœtor, 294

periodicity of, 294

origin, 299

resemblance to that of ozaena, 294
retained, formation of crusts and causa-
tion of fætor from, 78, 159

Dixon, W. E., and Brodie, T. G., experi-
mental investigation of asthma, 245, 256
Dmochowski, bacteriological examination of
cases of sinus suppuration, 270

Döbeli on source of secretion in ozaena, 161
Downie, Walker, on removal of nasal polypi
in asthma, 261
Drug rhinitis, 131

Dunbar, serum treatment of hay fever, 256.
Duplay, description of rhinitis caseosa by, 80
speculum for anterior rhinoscopy, 38
Dyspepsia in chronic sinus suppuration, 281

EAR (diseases of) dependent on nasal affec-
tions, 91

in chronic suppuration of accessory
sinuses, 296

Ears, effects of nasal obstruction on, 59
Edwards on gonococcal infection of nose, 133
Electric light for anterior rhinoscopy, 34
Electrolysis in nasal surgery, 53

See also Cupric electrolysis
Empyema (latent), diagnosis in, 298
symptoms occurring in, 290-297
(manifest), conditions resembling:
dental cyst, 309

malignant disease, 308
mucocele, 308

orbital abscess or cellulitis, 308
osteomyelitis of upper jaw, 309
periostitis of upper jaw, 309

See also Accessory sinuses, suppuration in
Enchondroma (nasal), 221

diagnosis of carcinoma from, 234
Endothelioma (nasal), 231

Enuresis (nocturnal) associated with nasal
obstruction, 74

associated with adenoids, 375

Epilepsy, dependence upon adenoids, 374
in nasal obstruction, 75

Epistaxis, common with adenoids, 375
diagnosis, 84, 85

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treatment, 85

operative, 86

Epithelium covering inferior turbinate, 27
metaplasia of, in ozaena, 163, 164
Erysipelas, relationship to sinus suppuration,
270, 281

Ethmoid bone, osteitis of, etiology, 188
occurring in nasal polypi, 180
cause of production of polypi, 187
clinical evidence of, 182
histological evidence of, 180

Ethmoidal cells, anatomy of, 20
mucoceles of, 359

suppuration in, diagnosis, 306, 308

symptoms, 292, 293

treatment, 328-334

acute, treatment by irrigation, 287
(extensive) treatment by curettement,
331-333

(limited) treatment,

by minor operations under
cocaine anesthesia, 328
danger and uselessness of gal-
vano-cautery, 329

removal, partial or complete,

of middle turbinate, 329, 330
(manifest or complicated) treatment,

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symptoms, 239

Finder on nasal sarcoma, 228

Fotor due to retained nasal discharge, 78
of ozaena simulated by that of sinus sup-
puration, 294

result of retained secretions, 159
Forceps (cutting) for sphenoidal sinus, 353
Grünwald's, 194

Juracz's for adenoid growths, 380
Foreign bodies in nose, 97-101

causing supra-orbital headache, 88
diagnosis of, 99

diagnosis of carcinoma from, 235

of tertiary nasal syphilis from, 205

in accessory sinuses, 274

symptoms of, 98

treatment of, 100

Fränkel, nasal speculum, 37, 38

recommendation of bromides in treat-
ment of hay fever, 255

Francis, A., on point of origin of nasal
reflexes, 244

on asthma in relation to nose, 256, 258
intra-nasal application of galvano cautery
in treatment of asthma, 262, 263

Franke, experiments on air pressure in nose
during normal respiration, 30
Frontal sinus, anatomy of, 14

catheterization of, 18-20
development of, 17

examination by Röntgen rays, 16
by transillumination, 16

external relations of, 17

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III

Gonococcal infection causing purulent rhin-
itis, 133

Grant, J. Dundas, on rhinitis caseosa, 80
on frontal headache associated with
nasal disease, 90

Grossheintz on cause of deformities of jaws
and teeth, 69

Grosskopf, epilepsy in nasal obstruction, 75
Grünwald on hemicrania due to nasal affec-
tions, 87

on causation of ozaena, 159-161
on etiology of nasal polypi, 185

on experimental production of conditions
simulating nasal polypi, 187

on repeated puncture of antrum to
diagnose suppuration, 305
Guder on nasal reflex neuroses, 246
Guye on group of nervous symptoms (apros-
exia) due to nasal obstruction, 71

HACK, on nasal reflexes, 243, 244, 245

on application of galvano-cautery in
treatment of nasal reflex neuroses, 249
Hæmorrhage, arrest of, after operations, 53
arrest of, by means of nasal bag, 54
(secondary) after removal of adenoids,
381

Hæmorrhage

after puncture of antrum, 316
Hajek on supra-orbital headache, 89, 90
on relationship between pre-existing
nasal obstruction and sinus suppura-
tion, 272

on objection to intra-nasal methods in
suppuration in ethmoidal cells, 330
Halliburton, W. D., and Hewlett, R. T., on
secretion in cerebro-spinal rhinorrhoea, 79
Harke on etiology of suppuration in nasal
accessory sinuses, 268

Hasslauer, on benign nasal growths, 219
Hay fever, 250-256

associated with nasal obstruction, 74

causes, exciting, 250

exposure to pollen in air, 250

predisposing, 250, 251

general, 251

local, 250, 251

prognosis, 252

symptoms, 251

treatment, 252-256

by galvano cautery, 253

by bromides, 255

by removal of exciting cause, 252

by removal of predisposing local

cause, 252

by serum (pollanthin), 256

by turbinectomy, 253
constitutional, 253

palliative, 255

danger of cocaine or supra-
renal extracts, 255

Headache, due to nasal affections, 87-90
in chronic suppuration of nasal accessory
sinuses, 290

in nasal obstruction, 88
(frontal). See Headache (supra-orbital)
(periodicity), suggestive of suppuration
in accessory sinuses, 90
(supra-orbital), causes of, 88-90

cured by removal of middle tur-
binate, 89, 90

due to foreign body, 88
Hemicrania, due to nasal affections, 87, 88
Hemisine, preparation of supra-renal gland
extract, 50

Heryng, on origin of nasal reflexes, 244
Herzfeld and Hermann, bacteriological
examination in sinus suppuration, 270
Hewlett, R. T., and Halliburton, W. D.,
on secretion of cerebro-spinal rhinorrhoea,
79

and Thomson, StClair, on purification of
inspired air from micro-organisms, 31
Hiatus semilunaris, 6

Hill, G. William, on rhinitis caseosa, 80
Hillairet and Delpech, on trade rhinitis, 132
Histology of nose, 25-29
Hoffman's bacillus.
diphtheria

See Bacillus, pseudo-

Hopmann, on a definite type of skull in
relation to ozaena, 163

Horne, W. Jobson, nasal probe, 39

Hovell's cautery handle, 51

Howard's nasal bag for arrest of hæmorrhage,
54

Hyperosmia, 95

Hypertrophy of inferior turbinates. See
Rhinitis (hypertrophic)

Hypertrophy (edematous), in chronic sup-
puration in accessory sinuses, 295

INCANDESCENT Spirit lamp(Cresswell Baber's)
for anterior rhinoscopy, 36

Infective diseases (acute) causing suppuration
in'nasal accessory sinuses, 267
bacteriological evidence, 269
clinical evidence, 267
pathological evidence, 268
(chronic), of nose, 200-218

See also Glanders; Leprosy; Rhino-
scleroma; Tuberculosis and Lupus;
Syphilis

Influenza cause of sinus suppuration, 266, 267

frequent cause of anosmia, 94

Infundibulum, definition of, 18

JACQUES on cause of nasal polypus, 187
Jansen, operation on frontal sinus, 340
operation on sphenoidal sinus, 355
Jaw (lower), changes in due to nasal ob-
struction, 68

(upper), changes in due to nasal ob-
struction, causation, 66

deficient development, 63

highness and narrowness of arch
of hard palate, 63

irregularity and crowding of teeth,

65

V-shape of alveolar arch, 64
osteomyelitis of, acute, diagnosis

from antral suppuration, 285, 309
Jousset, epilepsy in nasal obstruction, 75
Juracz's forceps for adenoid growths, 380

KASSEL on nasal reflex neuroses, 245
Kelly, A. Brown, on transillumination of
antrum, 302, 303

Killian, speculum for median rhinoscopy, 39
operation for defected septum, 114
operation on frontal sinus, 341, 344
on mucocele of frontal sinus, 361
Kirkland on etiology of suppuration in nasal
accessory sinuses, 268

on bronchitis and bronchiectasis com-
plicating sinus suppuration, 281
Klebs-Löffler bacillus. See Bacillus diph-

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Lack, Lambert

and Sutherland, G. A. on congenital
laryngeal stridor, 74

Lake, R., anterior turbinectomy, 146

paraffin injections in ozaena, 169
Lane, W. Arbuthnot, on cause of deformities
of jaws and teeth, 70

on treatment of post-nasal adenoid
growths, 377

Laryngismus stridulus, benefited by removal
of adenoids, 374

in nasal obstruction, 74

Laryngitis in sinus suppuration, 281
Larynx, effects of nasal obstruction on, 59
See also Spasm (laryngeal); Stridor (con-
genital laryngeal)
Leprosy (nasal), 214
diagnosis, 215

of tertiary syphilis from, 205
symptoms, 214
treatment, 215
Lermoyez on fate of micro-organisms intro-
duced into nose, 31

on supra-orbital neuralgia caused by
hypertrophy of inferior turbinate, 88'
Lewy on point of origin of nasal reflexes,

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Meisser and Gerber, on cause of ozaena, 163
Meningocele (nasal), diagnosis of, from nasal
polypi, 190

Mental phenomena, in chronic suppuration
in accessory sinuses, 296

in nasal obstruction, 71

Menzel, method of injection of paraffin wax
to remedy collapse of alæ nasi, 82
Meyjes on supra-orbital headache due to
foreign body, 88

Michel, on rhinitis caseosa, 80

on causation of ozaena, 159

Microbic origin of ozaena discussed, 162
Micro-organisms, purification of inspired air
from, by nasal mucous membrane, 31

ultimate fate of when introduced into

nose, 31

Moure, E. J., employment of paraffin in-
jections in treatment of ozaena, 169.

operation, for septal deflections, 117
Mouth, effects of nasal obstruction on, 58
symptoms resulting from constantly open
mouth in nasal obstruction, 61
Mucocele of accessory sinuses, 358, 366
etiology of, 358
pathology of, 359

of antrum, 362

cases of, 363

extreme rarity of, 362
treatment of, 363, 365
of ethmoidal cells, 358, 359
external operation for, 360
projecting into orbit, 359
removal by snare, 360

of frontal sinus, 361

diagnosis of, 361
rarity of, 361
treatment of, 362

of middle turbinate, 358

symptoms of, 358

of sphenoidal sinus, 365

Mucous membrane (of sinuses), changes in,
due to suppuration, 279

(nasal) histology of, 26, 27, 28
respiratory functions of, 31

NASAL bag, for arrest of hæmorrhage, 54
Nasal cavity, dimensions of, 8

Nasal cup, for cleansing nose, 43
Nasal douche, 44

Nasal irrigators, 43,

Nasal lotions, 45, 384

Nasal neuroses. See Neuroses (nasal reflex)
Nasal obstruction, 55-76

cause of suppuration in accessory sinuses,

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Nasal probe, 39

Naso-pharynx, fibroma of, recurring, 239-241
See also Post-nasal space

Necrosis in connection with sinus suppura-
tion, 280, 300

Nélaton, operation for malignant growths
affecting posterior part of nose, 237

operation for recurring fibroma of naso-
pharynx, 241

Nerve supply of nose, 25

Nervous symptoms due to nasal obstruction,
71. See also Aprosexia

Neuralgia (facial), due to nasal affections, 88
(supra-orbital), due to hypertrophy of
inferior or middle turbinate, 88
(trigeminal), due to disease of middle
turbinate, 90

Neuritis (optic), complication of sinus sup-
puration, 282

Neuroses (nasal reflex), 243-265

classification, 245

definition, 243

etiology, 244

evidences of nasal reflex, 247

mode of action, 245

point of origin, 244
prognosis, 248

treatment, 248, 249

general, 249

local, 248, 249

See also Asthma, Hay fever

OBLITERATION of frontal sinus in chronic
suppuration, 343

Oedema, localisation of, in diagnosis of
chronic sinus suppuration, 300

Ogston, operation on frontal sinus, 340
Ogston-Luc operation on frontal sinus, 340,
346

mortality of, 347-349

Oils, use of, in nasal treatment, 46
Olfactory functions of nose, 30
Olfactory region, histology of, 28

Ollier, operation for malignant tumours of
ethmoidal region, 237

Onodi, complications of sinus suppuration,
282

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foetor of, 159

simulated by that of sinus suppura-
tion, 294

formation of crusts in, 158

hereditary disposition to, 158

histology of, 157

microbic origin discussed, 162

physiognomy of, 155

prognosis of, 171

relation of tubercle to, 157, 163

relation to rhinitis sicca, 161

relation to hypertrophic rhinitis, 161

relation to sinus suppuration, 159, 294

sinus suppuration in, 157, 273
source of nasal discharge in, 159-161
symptoms of, 165, 166

theory of definite type of skull in, 163
treatment, 166-171

cleansing of nose, 167
general treatment, 168
prevention of crusts, 167
special methods, cautery, 171
cupric electrolysis, 170
curettement, 171
massage, 169

paraffin injections, 169

serum therapy, 171

treatment of complications, 168,
169

PACKARD, on cause of nasal polypus, 187
Packing the nose, method of, 45

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