Diseases of the nose and throat; a text-book for students and practitioners . ructures are apt to be diseased, andin this affection, as well, this temperament plays an importantpart. It is often noticed that those conditions which give riseto inflammation of the faucial tonsils also induce an attack ofthe same nature in the pharyngeal tonsil. Children are the most frequent sufferers from adenoid veg-etations ; in fact, the disease generally undergoes spontaneouscure as the result of advanced years, and at the age of thirty-five the vault of the pharynx is usually smooth, although I haveseen it
Diseases of the nose and throat; a text-book for students and practitioners . ructures are apt to be diseased, andin this affection, as well, this temperament plays an importantpart. It is often noticed that those conditions which give riseto inflammation of the faucial tonsils also induce an attack ofthe same nature in the pharyngeal tonsil. Children are the most frequent sufferers from adenoid veg-etations ; in fact, the disease generally undergoes spontaneouscure as the result of advanced years, and at the age of thirty-five the vault of the pharynx is usually smooth, although I haveseen it rough at seventy. It is not safe, therefore, to rely upon (277) . 278 DISEASES OF THE NOSE AND THROAT. this relief by Nature, for the patient may, in the meantime, losethe hearing, facial beauty, purity of the voice, and the naturalpower of nasal respiration ; while the chest may undergo thechange known as pigeon-breast, with consequent disease ofthe lungs. Pathology.—The condition consists of a veritable hyper-trophy of the glandular elements of the naso-pharynx, which. Fig. 68.—Youthful Physiognomy of Adenoid Vegetations—Mouth-Breathing.(From a photograph.) are much increased in number and size and with multiplicationand enlargement of the blood-vessels. The mucosa also under-goes catarrhal thickening similar to that found in the nasalfossae. Adenoid vegetations are of two varieties,—a soft, orpapillomatous, and a hard, or smooth. In two of my cases ofthe latter variety the mass enlarged during every severe acuteattack of nasal catarrh. Associated with enlarged pharyngeal ADENOID VEGETATIONS OF THE VAULT OF THE PHARYNX. 279 tonsils is nearly always a granular thickening of the pharynxand edges of the posterior pillars, the faucial walls are glisteningand wrinkled, and the uvula is often thrown into circular folds. Symptoms.—There is apt to be a thick, glutinous, yellow,green, muco-purulent, or bloody discharge. The child or young-adult has, as in other nasal obstru
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