Sinus Trouble Research Articles

Is sinus trouble being overstressed? a critical survey of the sinus problem

The LaryngoscopeVolume 46, Issue 6 p. 460-472 Article Is sinus trouble being overstressed? a critical survey of the sinus problem Dr. Emanuel Krimsky, 745 Estern Parkway, Brooklyn.Search for more papers by this author Dr. Emanuel Krimsky, 745 Estern Parkway, Brooklyn.Search for more papers by this author First published: June 1936 https://doi.org/10.1288/00005537-193606000-00009AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinked InRedditWechat Volume46, Issue6June 1936Pages 460-472 RelatedInformation

Injections and Heat Help Chronic Sinus Troubles

Injections and Heat Help Chronic Sinus Troubles

ADENOIDS AND IMMUNITY

THE ADENOID, A PHYSIOLOGIC STRUCTURE The inspiration for this paper came from a consideration of the prevalence of sinus trouble in children. One is faced with the problem of an apparent increase in infections of the upper part of the respiratory tract in children which are generally known as sinus trouble. It seems to be impossible to cope with this situation. The hope that removal of tonsils and adenoids would materially reduce such infections has not been fulfilled. Efforts to produce immunity to colds by the injection of vaccines, the feeding of vitamins, and exposure to sunlight and ultraviolet rays are not universally successful; the work here recorded is an effort to discover whether the function of the adenoid is physiologically to tend to produce immunity to, or resolution of, nasal sinus infection in children. Adenoids is one of the unfortunate terms of medicine, and even the term vegetative growths

Tumor Involving Lymphoid Tissue

Stimulated by the article entitled “Lymphoblastoma Involving the Stomach—Roentgenologically Considered,” by Howard E. Ruggles, M.D., and Robert S. Stone, M.D., in California and Western Medicine, July, 1930, the following case is reported. The patient, A. V. P., aged 42, an optician, was admitted August 25, 1929, to the Syracuse University Hospital of the Good Shepherd, and gave the following history: Had never had any illness from childhood until December, 1926, when he was taken with a hard cold in the head and chest. Was ill about six weeks. In December 1927 his left ear drum ruptured, followed bv a discharge of two weeks' duration. His best weight had been 170 pounds, in December, 1926; his average weight was 150 pounds. Patient had had “grippe” a year and a half before the present examination and a cold of a month's duration, during which time he coughed and expectorated some thick mucus, with no fever or pain during the cold. During the “grippe” attack he had slight fever, sinus trouble, an ear abscess, no nausea nor vomiting. The fever was not high, but fluctuated. He had profuse perspiration; no hemoptysis. Physical examination Physical examination by Dr. Ellery Allen showed blood pressure 95/55. Skin: Slightly pale; no eruption. Head: No sinus tenderness. Eyes: React to light and accommodation; no nystagmus, ocular palsies, lid lag, or exophthalmia. Ears: No mastoid tenderness. Left ear drum ruptured. No discharge. Nose: Septum slightly deviated to left. Mouth: Several missing teeth. Mucous membrane slightly pale. Tonsils considerably enlarged and cryptic; not acutely affected. Neck: Adenopathy considerable; anterior and posterior cervical glands enlarged but not tender. Chest: Expansion good and no dullness, rales, abnormal breath sounds, nor fremitus changes. Heart not enlarged; rate, 80; sounds of fairly good quality; no arrhythmia, thrill, nor murmurs. Abdomen: Rather tense and has a “doughy” feeling. No spasm, rigidity, definite tenderness. Some distention is present. Can make out no fluid wave, but there are places in the abdomen where fluid seems to be directly under the examining finger and its displacement can be heard. The spleen is easily palpable and appears to be considerably enlarged, firm, and non-tender. The liver edge can be felt—smooth and firm, non-tender. Just above the umbilicus can be felt a small, firm, irregularly shaped mass the size of a marble. Deep in the right upper quadrant can be felt two or three of these nodular, non-tender masses, all in a group. I doubt if fluid is present in the peritoneal cavity, unless it be in small, walled-off spaces. No costovertebral tenderness. Extremities: Deep reflexes are active. No edema or clubbing. Bones and joints: Essentially negative. Glands: Cervical, axillary, inguinal, and epitrochlear glands are enlarged and palpable; non-tender.

CHRONIC RHINOPHARYNGEAL DISEASE

A consideration or discussion of chronic rhinopharyngeal disease must be limited to one of its scientific phases under the various classifications so voluminously outlined in the special literature, namely, nasal obstruction. I shall not discuss a highly specialized surgical technic, but some of the practical problems encountered in a long and constant daily contact with the various manifestations of chronic nose and throat disease. While the success of treatment must depend largely on diagnosis, operative skill, technic and after-care, too much attention can hardly be given to the psychologic phase of the subject. The diagnosis of all chronic rhinopharyngeal disease from the standpoint of the patient is catarrh, tonsillitis, chronic cold or among the more intelligent, sinus trouble. A vastly increasing number of people select their specialist on a self-satisfied classification of their disease. It seems to me, therefore, of considerable importance that in a scientific determination of successful

CONTRACTURED ULNAR PARALYSIS: RELIEVED BY TREATMENT OF THE NASAL (SPHENOPALATINE) GANGLION

Recently, a number of cases have been reported in which unexpected or strange, even bizarre, effects have been produced by cocainization and treatment of the nasal (sphenopalatine) ganglion. The following case is of interest : CASE REPORT <i>History</i>.—L. B. R., a farmer, aged 23, called me on Oct. 5, 1922, at which time he was confined to bed; his chief complaint was severe pain in the left side of his head, radiating down the left shoulder and left arm to the hand ("lower half headache"). The patient was a well developed and well nourished young man, whose history, with the exception of appendectomy in 1918 and influenza in the fall of 1918, was negative. There was also a history of some sinus trouble, following influenza, which had run its course without treatment. On May 1, the patient first began to have pains in the left side of his face, extending

THE SURGERY OF THE ETHMOID LABYRINTH

The ethmoid is in several ways the central point of interest in questions relating to the nasal accessory sinuses. Developmentally the other sinuses, particularly the frontal and maxillary, are distinct outgrowths from the ethmoid. Anatomically the ethmoid, because of its central location, constitutes a key to the other nasal sinuses, including the sphenoid, as well as the frontal and maxillary sinuses. Pathologically the ethmoid labyrinth is more or less involved in almost every inflammatory process involving the other sinuses. And finally, the surgical treatment of inflammatory processes in any of the nasal accessory sinuses includes to a greater or less extent operation on the ethmoid labyrinth. It is evident, therefore, that any one who undertakes the treatment of nasal accessory sinus trouble should first of all be well grounded in the surgical anatomy of the ethmoid and should be familiar with the methods of operating on this structure. Anatomic variations