An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . floor, the abbreviation ofthis space by elevation of the palatal arch through the instrumentality of naso-pharyngeal adenoid hypertrophy cannot result otherwise than in forcing theseptum to provide for itself by bending and curvinglaterally in various directions—a condition which is dia-grammatically represented in Fig. 10. The septal deflection a
An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . floor, the abbreviation ofthis space by elevation of the palatal arch through the instrumentality of naso-pharyngeal adenoid hypertrophy cannot result otherwise than in forcing theseptum to provide for itself by bending and curvinglaterally in various directions—a condition which is dia-grammatically represented in Fig. 10. The septal deflection acts as an additional impedi-ment to nasal respiration and drainage, and becomesa potent factor in the evolution of hypertrophicrhinitis or that form of nasal catarrh characterizedby enlargement of the turbinated bodies (Fig. 11). Headache is also complained of, although a senseof mental obtundity and heaviness is more usual thanabsolute pain in the head. Finally, not only, as before said, do these un-fortunates looh stupid, but they really are stupid, andexhibit abundant evidence of mental hebetude, withinability to fix the attention, to learn, to memorize, orto reason. Three varieties of thoracic deformity are observed to accompany obstmc-. 432 AMEBIC AN TEXT-BOOK OF DISEASES OF CHILDREN. tive naso-pharyngeal adenoid hypertrophy, the association of one or other form,in advanced cases, being so constant that a direct causal relationship, althoughdifficult of absolute demonstration, can reasonably be assumed. For the induction, hoAvever, of two of these forms, the pigeon-breastdeformity and the barrel-shaped chest, the intermediation of still anothersymptom, bronchitis, seems essential; but adenoid hypertrophy is an etiologicalfactor in the production of chronic bronchitis. Especially in neurasthenicindividuals it is exquisitely sensitive to reflex-producing impressions, and itsirritation may result, reflexly, in spasm of the glottis, cough, asthma, and pare-tic vaso-motor bro
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