Read e-book online Logan Turner's Diseases of the Nose, Throat and Ear PDF

By John P. Stewart (Eds.)

ISBN-10: 1483168115

ISBN-13: 9781483168111

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Recently, however, the development of penicillin-resistant staphylococci has enormously reduced the efficacy of penicillin in this condition. Should the administration of penicillin not produce a rapid improvement then no time should be lost in changing to another antibiotic. Erythromycin has proved to be very effective in these circumstances. DEVIATIONS AND SPURS OF THE SEPTUM It has already been pointed out that a perfectly straight septum is rarely found and, even when the septum is straight, it frequently has a ridge or spur upon it.

As a rule the diagnosis is not difficult, but care must be taken to exclude paranasal sinus suppuration. The absence of ulcération will serve to distinguish ozaena from tertiary syphilitic lesions. , the fœtor and the nasal obstruction. —In view of what has been said above regarding the causation of ozaena, every endeavour should be made to cure purulent rhinitis arising in cases of measles and scarlet fever. Every case should be most carefully examined under cocaine and adrenaline, if necessary, so that air-cells secreting pus may be effectively drained and even surgically opened.

Associated with the nasal obstruction there is generally some impairment of the senses of smell and taste ; a change in the voice is also noticeable when the obstruction is very marked. Increased secretion is another important symptom, and it may be very troublesome. The discharge is generally watery or viscid in character and free from odour. —On anterior rhinoscopy, the mucosa presents a congested appearance and portions may also be hypertrophied {Plate I, A, p. 32). The enlargement may involve the inferior concha ; in that case the anterior end may be specially affected {Plate II, I, p.

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Logan Turner's Diseases of the Nose, Throat and Ear by John P. Stewart (Eds.)

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