A treatise on nasal suppuration, or suupurative diseases of the nose and its accessory sinuses / by Ludwig Grünwald.

  • Grünwald, L. (Ludwig), 1863-1927.
Date:
1900
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on nasal suppuration, or suupurative diseases of the nose and its accessory sinuses / by Ludwig Grünwald. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    ethmoid labyrinth. Post-mortem : Caries of the lamina crib- rosa was also found. This case was complicated during life with recurring polypi, and furnished the proof, afterwards desired by Zuckerkandl, of the co-existence of these conditions. Knapp C): Meningitis at the base, and on the convexity of the hemispheres, originating from empyemata of the frontal sinus, ethmoidal cells, and left antrum. ' Nowhere necrosis, but at various points caries, also on the surface of the left turbinal.' Farther observations by Meyer, Schiitz, Begbie, Peko- stawski, and Browne are recorded later on. (See under ' Intracranial Suppuration.') Equally valuable are the following reports of post-mortem examinations: Hartmann (i) : In the centre of the middle meatus was a sponge-like granular mass, from which pus welled forth. Behind this the probe came against movable bone, which proved, when removed, to be a thin sequestrum, 17 mm. long and 6 mm. broad. Steinthal (J'^): After free exposure of the frontal sinus, the lamina papyracea was found to be partly carious. Jeaffreson (^): Retrobulbar suppuration. Enucleation. The whole bone in the region of the foramen opticum and the sphenoidal fissure was bare and dead, but not yet separated. During the next four years little bits of bone came away. Baasner C^) : Free exposure of an orbital abscess. Loss of substance in the lamina papyracea and cribrosa. Kipp (•*) : The frontal and sphenoidal sinuses, and the eth- moidal cells, were converted into a large cavity, presenting on its spacious walls numerous sharp splinters of bone. Knapp (•'') : i. Empyema of the ethmoidal cells. Opening from without. In the ethmoid bone a cavity 3 cm. in diameter, with rough, bare walls. 2. Combined empyema of sphenoidal sinus and ethmoidal cells. Opening from without. Extensive caries in the ex- posed cavity. Stewart ('^): An abscess in the inner angle of the right orbit, which had been several times opened during the last twenty years. Five years ago the abscess ruptured into the