A text-book on diseases of the ear, nose and throat . clined to regard these cases as anom-alies of mucous secretion rather than chronic inflammation. Othercases show more marked pathological changes, and are apt to be asso-ciated with hypertrophic or granular pharyngitis of the oropharynx, ACUTE AND CHRONIC RHINOPHARYNGITIS. 419 intumescent rhinitis, or often with atrophic rhinitis. Chronic rhinophar-yngitis accompanying the latter affection is apt to end in atrophy of themucous membrane of the nasoi)harynx. The surface of the mucosa inthese cases of chronic rhinopharyngitis is usually redden


A text-book on diseases of the ear, nose and throat . clined to regard these cases as anom-alies of mucous secretion rather than chronic inflammation. Othercases show more marked pathological changes, and are apt to be asso-ciated with hypertrophic or granular pharyngitis of the oropharynx, ACUTE AND CHRONIC RHINOPHARYNGITIS. 419 intumescent rhinitis, or often with atrophic rhinitis. Chronic rhinophar-yngitis accompanying the latter affection is apt to end in atrophy of themucous membrane of the nasoi)harynx. The surface of the mucosa inthese cases of chronic rhinopharyngitis is usually reddened and vascular,but may in some cases be even paler than normal. The mucous mem-brane is thickened and boggy in appearance. Microscopically, the epi-thelium shows an extension uj)ward of the pavement epithelium of theoropharynx to a greater or less degree ; in other places the epithelialsurface is lost, or the ciliated cells are replaced by layers of cuboid children the ciliated epithelium normally extends downward on the Fig. 101. Fig. Adenoid tissue at vault of pharynx. Poste-rior wall of upper part of pharynx. (Luschka.)1, 1, pterygoid process; 2, section of vomer;3, 3, posterior portion of the vault of the nasalfossae; 4, 4, pharyngeal orifice of the Eu-stachian tube; 5, orifice of the bursa pha-ryngea ; 6, 6, recessus pharyngeus (fossa ofRosenmiiller) ; 7, median folds formed by theadenoid substance of the nasal portion of thepharynx. mm


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