A manual of diseases of the nose and throat . recognized, when theseverer cases are liable to infect the meninges,terminating fatally or becoming chronic. Themilder cases often recover without any spe-cial treatment. The average case lasts aboutten days. Treatment. The treatment of acute sinusdisease may be divided into constitutionaland local. The constitutional treatmentshould be that which would ordinarily bedirected to the disease which this compli-cates ; that is, the constitutional treatment forgrip, pneumonia, and so forth. The local treatment should be directedtoward contracting the na
A manual of diseases of the nose and throat . recognized, when theseverer cases are liable to infect the meninges,terminating fatally or becoming chronic. Themilder cases often recover without any spe-cial treatment. The average case lasts aboutten days. Treatment. The treatment of acute sinusdisease may be divided into constitutionaland local. The constitutional treatmentshould be that which would ordinarily bedirected to the disease which this compli-cates ; that is, the constitutional treatment forgrip, pneumonia, and so forth. The local treatment should be directedtoward contracting the nasal mucous mem- Prob Fig. 57. ! y Sphenoidales, three 216 DISEASES OF ACCESSORY SINUSES OF NOSE. brane_andkeeping it in this condition. As the swelling ofthe nasal mucous membrane interferes with the drainagefrom the accessory cavities, this indication must alwaysbe borne in mind, and every effort made to establish drain-_ag£. Sprays of adrenalin (1 : 10,000) every two hoursusually suffice for this purpose. Syringing the nose with Fig. Probe in sphenoidal sinus. (Authors specimen.) hot normal saline solution often removes the dischargefar better than by using the handkerchief, and assistsin keeping the nasal mucosa contracted. Steam inhala-tions occasionally are of value for the same , when these means have failed, a 1 per cent. ACUTE SUPPURATIVE INFLAMMATION. 217 solution of cocaine may be placed in the hands of atrained nurse or assistant, to be used in spraying thenose, for purposes of contracting the mucous is, however, a very dangerous plan to give a pre-scription for cocaine which shall be placed in the handsof the patient, to be used indiscriminately, on accountof the danger of contracting the cocaine habit. Fia. 59.
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