Diseases of the nose and throat; a text-book for students and practitioners . dbodice and rhinorrhaa; chronic congestion or hypertrophy ofpost-iiasd mucosa or post-nasal vegetations are also prescMit. Not infrequently external changes will be noted, in conse-quence of the intra-iiasal alterations. These surface defectsconsist of acne, erythema, and, according to some writers, evenerysipelas. Sciler (• Diseases of tlie Throat, third edition) 42 DISEASES OF THE NOSE AXD THROAT. says : This irritation of the skin of the face is due, no doubt,to two causes, viz., first, reflex irritation of the va


Diseases of the nose and throat; a text-book for students and practitioners . dbodice and rhinorrhaa; chronic congestion or hypertrophy ofpost-iiasd mucosa or post-nasal vegetations are also prescMit. Not infrequently external changes will be noted, in conse-quence of the intra-iiasal alterations. These surface defectsconsist of acne, erythema, and, according to some writers, evenerysipelas. Sciler (• Diseases of tlie Throat, third edition) 42 DISEASES OF THE NOSE AXD THROAT. says : This irritation of the skin of the face is due, no doubt,to two causes, viz., first, reflex irritation of the vasomotor nervesof the skin, and, second, to the inability of the erectile tissueof the nose to act as a safety-valve in relieving the surplusblood-pressure in the capillaries of the skin of the face andnose. Examination of the naso-pharynx often discloses the pres-ence of extensive rough, mulberry hypertrophy of tlie posteriorends of the lower turbinateds. This is sometimes so consider-able as to greatly hinder or obstruct nasal breathing. Adenoidvegetations are Fig. 24.—Posterior Hypertrophy of Middle and Inferior TurbinatedBodies. Both Sides. (Sajous.) Prognosis.—The prognosis is much more favorable nowthan it was a few years ago, owing to the great advancement inthe surgical treatment of this aflection. It is, even now% notusually good, as regards the final cure of the disease, but therelief is so considerable that it is frequently almost as satisfac-tory as a cure. So far as life is concerned, the prognosis isgood, unless the process extend to the larynx, when, in additionto catarrh, there may be a veritable liypertrophy of this organ,so severe as to give rise to fatal dyspnoea, unless mechanicallyrelieved. Habitual mouth-breathing may follow, or bronchitisor pneumonia result. The course of the disease is chronic,usually requiring years for its development. HYPERTKorillC lailXlTlS HYPERTROPHIC NASAL CATARRH. 43 Treatment.—The treatment shoiikl generally be


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