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PREFACE.

IN 1899 I was awarded the Jacksonian Prize for an Essay on "The Pathology, Diagnosis, and Treatment of the Inflammatory Affections of the Nose and its Accessory Sinuses and Air-cells." Some of the investigations for that work have been continued and amplified, the whole Essay has been thoroughly revised, and additional chapters have been added in the endeavour to make the present book a complete treatise on the Diseases of the Nose.

It has been my aim to give a concise yet full account of the Diseases of the Nose and its Accessory Sinuses, more especially with reference to their Pathology and Treatment, and I trust that what I have written may be of service to those Practitioners and Senior Students who intend to devote special study to this subject. The chapters have not all been written upon a uniform plan. A systematic account has been given of subjects upon which there has been no recent controversy, and upon which no great divergence of opinion exists. On the other hand, I have not hesitated to devote considerable space to the consideration of doubtful points, and, whilst indicating my own views, I trust I have stated fairly the opinions of others.

To increase the usefulness of the work, I have added at the end of each chapter a short bibliography, containing references to the more important recent contributions to the subject. Every endeavour has been made to keep this list as short as possible, and to include in it nothing but what the student who seeks fuller knowledge or more details upon any particular point may consult with advantage. Minor references are given as footnotes. To ensure greater accuracy, all the references have been carefully verified by Mr. Archibald Clarke.

I must here acknowledge my great indebtedness to the following works, which have been frequently alluded to in the text:

Morell Mackenzie, Diseases of the Throat and Nose. Vol. ii.
London. 1884.

Spencer Watson, Diseases of the Nose.

2nd Edit. London. 1890.

Greville MacDonald, Diseases of the Nose. 2nd Edit. London. 1892.

Bosworth, Diseases of the Throat and Nose. 2nd Edit. New York.
1898.

Heymann's Handbuch der Rhinologie und Laryngologie. Bd. iii.
Wien. 1899.

Grünwald, Die Lehre von den Naseneiterungen. 2nd Edit. München.
1896.

Moritz Schmidt, Die Krankheiten der oberen Luftwege. 3rd Edit.
Berlin. 1903.

Logan Turner, The Accessory Sinuses of the Nose. Edinburgh. 1901.
Hajek, Pathologie und Therapie der entzündlichen Erkrankungen der
Nebenhöhlen der Nase. Wien. 1899.

Finally, I have the pleasant task of acknowledging my great indebtedness to numerous friends. To Mr. Watson Cheyne I am especially indebted for generously placing his private laboratory at my service, thus enabling me to carry out much histological research which I should otherwise have been unable to undertake. I am indebted to Mr. C. A. Parker, to Dr. Ernest Playfair, and to Dr. Atkinson for the careful manner in which they have read the proof-sheets and for many valuable suggestions. Dr. Arthur Keith kindly read and revised the chapter on the Anatomy of the Nose, and my friend Mr. Morley Roberts has freely given much of his valuable time to reading the final proof-sheets.

For many of the illustrations I am indebted to Messrs. Longmans, Green & Co., who kindly permitted me to use the illustrations in the section I wrote on Diseases of the Nose for Cheyne and Burghard's Manual of Surgical Treatment, Part v. Div. 2. Of the original illustrations the majority have been drawn by Mr. J. E. Adler, and others by Messrs. Collings & Co., to both of whom I am greatly indebted. The illustrations of instruments were kindly lent by Messrs. Mayer & Meltzer. The Index has been compiled by Mr. Archibald Clarke.

H. LAMBERT LACK.

48 HARLEY STREET,

LONDON, W., March, 1906.

TABLE OF CONTENTS.

CHAPTER I.-THE ANATOMY OF THE NOSE.

The Septum-The Turbinated Bodies-Development,

The Accessory Sinuses-The Antrum--The Frontal Sinus and Infundibulum—

The Ethmoidal Cells-The Sphenoidal Sinus,

10-24

24-25

25-32

Illumination-Nasal Specula-Anterior Rhinoscopy-Median Rhinoscopy-Pos-
terior Rhinoscopy-Digital Examination,

Classification-Effects on Nose and Neighbouring Organs,

55-60

Effect on the General Health-Development of the Chest-Reflex Effects,

70-76

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