. The Journal of laryngology and otology. rencebetween the success or failure of surgical interference, or, indeed,the very life of the patient, depends more on an intimate andpractical knowledge of anatomy than it does in the region of theethmoid bone which borders so closely on important and vitalstructures. For this reason I propose to point out the main anatomicalfeatures met with in the region of the anterior ethmoidal labyrinthand its relation to the frontal sinus, the cribriform plate and theorbit. These relationships will be demonstrated by photographswhich have been taken from specime


. The Journal of laryngology and otology. rencebetween the success or failure of surgical interference, or, indeed,the very life of the patient, depends more on an intimate andpractical knowledge of anatomy than it does in the region of theethmoid bone which borders so closely on important and vitalstructures. For this reason I propose to point out the main anatomicalfeatures met with in the region of the anterior ethmoidal labyrinthand its relation to the frontal sinus, the cribriform plate and theorbit. These relationships will be demonstrated by photographswhich have been taken from specimens prepared by myself and 246 The Journal of Laryngology, [May, 1914. from illustrations selected from the works of Logan Turner,Beaman Douglass, Mosher, Onodi and others. To Mosher, ofBoston (), I am especially indebted, and would refer you tohis excellent monograph, The Applied Anatomy and Intra-nasalSurgery of the Ethmoidal Labyrinth, Laryngoscope, September,1913. The superficial features of the outer wall of the nasal fossa are. ? ???/ Fig. 1.—A. Posterior cut end of middle turbinal. b. Ethmoidal bulla, c. Unci-nate process of ethmoid. i>. Frontal sinus. e. Opening of an anteriorethmoidal cell. f. Openingof ethmoidal bulla. G. Extension of left sphenoidalsinus behind right sinus. (From specimen dissected by author.) familiar to you all, viz. the superior, middle and inferior turbinalbodies. If the middle turbiual is removed, two structures immediatelycall for notice (Fig. 1). (1) The ethmoidal huJla, the largest of the auterior ethmoidcells. Its lower convex border lies in the concavity of the hiatussemilunaris. May, 1914.] Rhinology, and Otology. 247 (2) The hiatus semilunaris, a curvilinear depression boundedabove by the ethmoidal bulla and below by the edge of the uncinateprocess of the ethmoid. The hiatus is the communication between the middle meatusand the ^infundibulum. The^ infundibulum is the curved gutter-like channel on theouter wall of the middle meat


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Keywords: ., bo, bookcentury1800, booksubjectear, booksubjectnose, bookyear1887