A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . the term ozsena, nowlimited to certain forms of dry catarrh (see p. 229), was formerly such cases the discharge from the nose is generally abundant, and isoften of a blackish color, and the most careful washing away of the dis-charge by irrigation or spraying fails to get rid of the stench. Should thevomer be extensively involved, the bridge of the nose may fall in, causinga characteristic flattening, as if the organ had been crushed, while if thecartilaginous po
A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . the term ozsena, nowlimited to certain forms of dry catarrh (see p. 229), was formerly such cases the discharge from the nose is generally abundant, and isoften of a blackish color, and the most careful washing away of the dis-charge by irrigation or spraying fails to get rid of the stench. Should thevomer be extensively involved, the bridge of the nose may fall in, causinga characteristic flattening, as if the organ had been crushed, while if thecartilaginous portion of the septum is destroyed, the tip of the nose sinksin and becomes flattened, and hangs loosely from the bony part of the i Spillmann: Diet. Encycloped. des Sciences Medicales, t. xiii., line part, p. pharyngo-nasale, Union Medicate, 1877, t. i., p. 342.:! Quoted by Lancereaux : Treatise on Syphilis, Syd. Soc. Transl., London, 18G8, , p. 174 et seq. ? *Ibid., p. 175. ?Spillmann: Op. cit., p. 38. 6 Prager Vierteljahrsschr., 1850, xxiii., 2, p. 20. SYPHILITIC AFFECTIONS OF THE NOSE. 277. nose (Fig. 85). Occasionally the whole substance and framework of thefeature is disintegrated, and it is represented only by two small aperturessurrounded by cicatricial tissue. The disease may extend to the superiormaxilla, may destroy the bony walls of the lachrymal canal, or slowly eataway large portions of the ethmoid and sphenoid bones, the basilar processof the occipital bone may entirelyperish by slow caries, or largepieces of these bones may bethrown off by rapid necrosis. Thecranial cavity is indeed sometimeslaid open, and, if this occurs, it isgenerally soon followed by fatal in-flammation of the brain and itsmembranes. In a case related byTrousseau,1 a large piece of theethmoid, constituting about a quar-ter of the entire bone, almost suffo-cated a patient by falling unex-pectedly into his throat. He diedon the following day with acutecerebral symptoms, due,
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