Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . rhinopharynx is normally richin lymphoid or adenoid tissue winch bears the name of naso-pharyngeal or Luschkas tonsil. Like the faucial tonsils thelatter is subject to frequent attacks of inflammation with second-ary hypertrophy. Whenever the hypertrophied adenoid tissueassumes such proportions as to more or less fill the nasopharyn-geal space and obstruct nasal breathing, a pathognomonic clinical 244 DISEASES OF RESPIRATORY SYSTEM. syndrome develops which, though
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . rhinopharynx is normally richin lymphoid or adenoid tissue winch bears the name of naso-pharyngeal or Luschkas tonsil. Like the faucial tonsils thelatter is subject to frequent attacks of inflammation with second-ary hypertrophy. Whenever the hypertrophied adenoid tissueassumes such proportions as to more or less fill the nasopharyn-geal space and obstruct nasal breathing, a pathognomonic clinical 244 DISEASES OF RESPIRATORY SYSTEM. syndrome develops which, though apparently insignificant in itslesion, is often very serious in its immediate and remoteconsequences. The clinical picture unfolds gradually, almost insidiously,growing more pronounced from time to time as the patientcatches cold. The child is unable to clear the nasopharynx,and the retained irritating nasal discharge helps to swell theadenoid tissue and to obstruct the rhinopharynx. The child isopen thus forced to breathe through the mouth. As immediate resultswe find that it keeps the mouth open, sleeps restlessly with the. Fig. 66.—Adenoids. Note typical idiotic face. (Sheffield.) Snoring. mouth open and as a rule snores heavily. He is frequentlyawakened by extreme dryness of the throat, and a croupy,harassing cough. In the morning he is tired, complains of head-ache, is drowsy and apathetic. His speech is dull, nasal (m andn sound like b and d) and hesitating, and sometimes it possible to bring these little sufferers under propertreatment at this stage of the disease, quick and uneventful re-covery would be the rule. Unfortunately, however, the laity,nay, the physicians as well, rarely think these symptoms ofsufficient gravity to necessitate medical and particularly surgicalintervention. The deplorable condition is therefore allowed to 1 It should be remembered, however, that the presence of adenoidsdoes not necessarily produce the typical symptoms of the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
