Diseases of the nose and throat; a text-book for students and practitioners . sesthe symptoms are less marked, tliough,as a rule, the same train of complaintsexists. Aprosexia is believed, by Hill, to result from lymphaticstagnation, which he bases upon thefact that the intra-ci-anial lymphaticspass out of the skull along the course of the nerve-sheaths (Key and Retzius); enuresis, cephalalgia,headaclie, and asthma are reported complications. If tlie person be sufficiently tractable to permit a posteriorrhinoscopic examination, the vault of the pharynx will be seento contain a mass
Diseases of the nose and throat; a text-book for students and practitioners . sesthe symptoms are less marked, tliough,as a rule, the same train of complaintsexists. Aprosexia is believed, by Hill, to result from lymphaticstagnation, which he bases upon thefact that the intra-ci-anial lymphaticspass out of the skull along the course of the nerve-sheaths (Key and Retzius); enuresis, cephalalgia,headaclie, and asthma are reported complications. If tlie person be sufficiently tractable to permit a posteriorrhinoscopic examination, the vault of the pharynx will be seento contain a mass of irregular lobular tissue, which may fill theentire pliaryngeal vault and completely obstruct the outlets ofthe nares posteriorly ; or the growth may appear as roundish,elongated masses, similar to a bunch of raisins. The color isgenerally duller than that of the normal mucous membrane, andthe tissues are often covered with a greenish-yellow, dirty, orbloody discharge, which, in some cases, forms in crusts on thevault of the pharynx, completely hiding the vegetations. If. Fig. 69.—Aged Physiog-nomy OF Confirmed Mouth-Bkeathing. 280 DISEASES OF THE NOSE AND THROAT. wiped off, bleeding is apt to ensue, although the surface doesnot appear vascular. The pharynx and nares are usually catar-rhally thickened, the pharyngeal follicles large and pale, and,as a rule, hypertrophies of the septum and turbinateds unable to examine with a mirror, the index finger shouldbe passed into the post-nasal region ; if vegetations exist, it willcome in contact with a soft, easily bleeding, irregular mass,resembling a bunch of earth-worms. When introducing thefinger, force is to be avoided; on that account insert it directlyback of the posterior pillar. As soon as the naso-pharynx isreached the finger can be easily and quickly brought into the
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Keywords: ., bookcentury1800, bookdecade1890, bookpublisherph, booksubjectnose
