The medical age : a semi-monthly journal of medicine and surgery . t ten feet of water he struck the softbottom, and both nostrils were partially filled with mud. Within a few hoursanother severe attack of rhinitis occurred, which in addition to the ordinarysymptoms was accompanied by pain on the right side of the face, slight boggi-ness and edema of the right lower eyelid, and tenderness to pressure inseveral of the right upper teeth. Patient complained that these teeth feltlonger than the others. Three days after the beginning of the attack and atthe time the intranasal swelling usually decr
The medical age : a semi-monthly journal of medicine and surgery . t ten feet of water he struck the softbottom, and both nostrils were partially filled with mud. Within a few hoursanother severe attack of rhinitis occurred, which in addition to the ordinarysymptoms was accompanied by pain on the right side of the face, slight boggi-ness and edema of the right lower eyelid, and tenderness to pressure inseveral of the right upper teeth. Patient complained that these teeth feltlonger than the others. Three days after the beginning of the attack and atthe time the intranasal swelling usually decreased, there was a profuse, clear,yellow serous discharge from the right naris. The discharge occurred whenthe head was bent forward or to the left, and ceased when the head was helderect. After about ten days of palliative treatment it ceased entirely. Thespur was then removed with the saw, and the anterior portion of the middleturbinate lightly cauterized. Tn the year that has elapsed since the operationthere has been no recurrence of the unilateral Fig. 2. Case 2.—Female, aged eighteen. Chronic hypertrophic rhinitis. Patientcomplained of an unnatural discharge from the right nostril. There wereslight hypertrophies along both turbinates on the right side. In the right naristhe lower turbinate was hypertrophied throughout its extent. The anterior por-tion of the middle turbinate was hypertrophied. After cleaning out both nares,applying a four-per-cent. cocaine solution to the middle turbinate, and waitinga few moments, having the patients head bent forward, an unnatural flaky,odorless, muco purulent discharge appeared under the edge of the middle turbi-nate. The course of the irritating discharge could be traced posteriorly onthe right side of the pharynx, where it had set up secondary inflammation andthickening. In this case I removed the anterior tumefied portion of the middle 100 ACUTE INFLAMMATION IN THE MAXILLARY SINUS turbinate with the cold snare and etche
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