None
835 Orbital abaoess in empyema of antrum of High- more, 373 in suppurating ethmoiditis, 390 secondary to disease of accessory sinuses, 351 cellulitis from disease of accessory sinuses, 351 Oropharynx, 17, fig. I Ossification in chondroma of nasal passage, 244 Osteoma of antrum of Highmore, 383 of ethmoidsl sinuses. 393 of frontal sinus, 415 of nares, 254 and chondroma, differentiation, 244 cancellous, 254 diagnoeis, 255 discharge in, 255 ebumated, 254 nasal obstruction in, 255 pain in, 255 patholo^, 254 prognosis, 255 symptoms. 255 treatment, 255 of respiratory tract. 254 of sphenoidal sinuses, 398 Osteomyelitis in acute purulent empyema of frontal sinus, 404 Ostia ethmoidalia, 21 Ostitis in acute purulent empyema of frontal sinus, 404 Ostium maxillare, 22 acceesorius, 22 closure of, as cause of acute catarrhal inflammation of antrum of Highmore, 359 Ostrom's biting-forceps, 375 Otal^pa in tuberculosis of pharynx, 587 Otitis media. Bacillus segmentoeus in produc- tion of, 71 in acute superficial tonsillitis, 473 in cryptic tonsillitis, 476 Osaena laryngis, 685 Osena, 123, 125 as symptom, 123 bacteriology of, 124 constitutional, 125 definition of term. 123 diploooccus of Loewenberg in, 70 diseases occurring in, 123 due to combination of causes, 124 - hypertrophic, 116 idiopathio, 125 in atrophic rhinitis, 129 iaotic-acid bacteria in treatment of, 136 lar^rngotracheal, 686 limitation of, 123 loos of smell in, 124 of antrum of Highmore, 364 diagnosis, 364 etiology, 364 prognosis, 364 treatment, 364 scrofulous, 85 simple, 125 Xilitic, 145 rculosis in, 125 variation in manifestations of, 123 Pachtdsrmia diffusa, 236 laryngis, 691 verrucosa, 236 Pachymeningitia in confined suppuration of frontal sinus, 409 Paget's disease of nipple and keratosis of pharynx, microscopic resemblance, 611 Pain in acquired stenosis of larynx, 630 tertiary nasal s>'philis, 151 in actinomycosis of pharynx, 601 in acute atMcess of septum, 336 Pain in acute catarrhal inflammation of an- trum of Highmore, 360 of frontal sinus, 400 glanders of pharynx, 598 nasopharyngitis, 423 pharyngitis, 523 phlegmonous inflammation of lingual ton- sU, 515 purulent inflammation of antrum of High- more, 365 of frontal sinus, 403 rheumatic phaiyn^tis, 581, 582 superficial tonsulitia^ 472 in angina ulcerosa benigna, 559 in atrophic rhinitis due to pre-existing lesion, 133 in cancer of larynx, 276 of nasopharynx, 269 of nose, 268 of pharynx, 272 of soft palate, 271 in catarrnal inflammation of q>henoidal sinuses, 394 in chondroma of nasal passage, 244 in chronic catarrhal inflammation of an- trum of Highmore, 363 gof frontal sinus, 401 landers of pharynx, 599 yperplastic ethmoiditis, 386 nasopharyngitis, 429 pharyngitis, 564 purulent inflammation of antrum of High- more, 368 of frontal sinus, 405 in confined suppuration of antrum of High- more, 369 of frontal sinus, 406 in cryptic tonsillitis, 475 in diphtheria, 533 as aid in diagnosis, 537 in edematous laryngitis, 659 in empyema of sphenoidal sinus, 395, 396 in fibroma of nasal cavities, 248 in follicular pharyngitis, 570 in foreign bodies in nose, 230 in gangrenous pharyni^tis, 549 in glandular pharyngitis lateralis, 552 in hay fever, 203 in hemorrhagic pharyngitis, 551 in herpes of pluuynx, 605 in infective pharyngitis, 527 in larynx, 762 in membranous tonsillitis, 486 in mucocele of antrum of Highmore, 382 of frontal sinus, 413 in nasal hydrorrhea, 143 in osteoma of nares. Palate, hard, perforation of, 450 loss of free movement of, in cancer of soft palate, 271 soft, abnormalities of. 450 from syphilis, 450 abscess of, 447 adhesions of, 450 to pharynx, closure of nasopharynx from, 450 alterations in normal sensitiveness, 453 an important factor in enunciation, 747 anesthesia of, 453 carcinoma of, 270. See also Carcinoma of toft palate. diseases of, 443 emphysema of, 450 treatment, 450 hyperesthesia of, 453 neuroses of, 453 neuralgia, 453 paralysis, 453 acute bulbar, 454 apoplectiform bulbar, 454 chronic bulbar, 454 herpes, 455 q>a8modic contraction, 453 non-inflammatoiy diseases, 450 paresthesia of, 453 perforation of, 450 voice in, 450 relaxation of, in pharyngeal tonsil, 463 sarcoma of, 281 swelling and relaxation of, in chronic naso- gharyngiUs, 430 ulated epithelioma of, 270 ulceration of, 450 Palatine fold, adhesions to, in hypertrophic tonsillitis, 490 Palliative tracheotomy, 797 Palmer's frontal-sinus drill. 414 Papillae, connective-tissue, in keratosis of pharynx, 609 Papillary budding in keratosis of pharynx, 610 edematous polypi. 257 Papilloma of larynx, 235 and epithelioma, differentiation, 237 diagnosis, 237 diffuse form. 236 dyspnea in, 236 hemorrhage in, 236, 237 in children, calcined magnesia in, 238 pain in. 237 prognosis, 238 superficial variety. 236 symptoms, 236 treatment, 238 of naree, 234 treatment, 234 of nasal ca\ity, 234 symptoms, 234 treatment, 234 of nasophar>'nx. 234 symptoms. 234 treatment, 235 of pharynx, 235 symptoms, 235 treatment. 235 of respiratoiy tract. 234 Paraffin injections for nasal deformities, 154 Quinlan's 8>'ringe for injection of, 155 syringe. 155 Paralysis as cause of defects of speech, 753 bulbar, acute, of soft palate, 454 apoplectiform, of soft palate, 454 chronic, of soft palate, 454 progressive, of pharynx, 618 symptoms. 618 diphtheritic, of pharynx, 618 plossolabiolaryngeal, 618 m diphtheria, treatment. 545 labiogloHsopharyngeal. 454 of arytenoids, 774 Paralysis of crioo-arjrtenoid muscle in laryn- gismus stridulus. 645 of esophagus and q;>asm of pharynx, di£Fer- entiation, 617 of e>'e-mu8cles from sinusitis, 351 of larvnx, adductor, unilateral, 775 and chronic laryngitis, differentiation, 681 as cause of cough, 633 bilateral abductor, 772. See also Larynx, paralyM of, hilaUral abd%u:tor. adductor, 775 centra] adductor, 774 internal tensors, 775 recurrent. 769. See also LaryngMl par- alytU, recurrent. unilateral abductor, 774 prognosis, 774 symptoms, 774 treatment, 774 of lateral crico-arytenoids, 775 of muscles of lArynXi 774 prognosis, 776 treatment, 776 of pharynx, 617. See also Pharynx, par- alyns of. of soft palate, 453 of superior laryngeal nerves, 769 diagnosis, 769 prognosis. 769 symptoms, 769 treatment, 769 of thyro-arytenoids, 775 of uvula, 453 of vocal cords, 769 in syphilis of larynx, 695 Paraplegia, spastic, of larynx, 767 Parenchymatous tonsillitis, 471, 474 Parental transmission of nasal syphilis, 163 Paresthesia of larynx, 761 of pharynx, 616 etiology, 616 prognosis, 616 treatment. 617 of soft palate, 453 Parosmia, 191 Paroxysmal cough, 633 Patch, mucous, as symptom of syphilis of lar- ynx, 697 in nereditary nasal s>-philis, 163 in nose, 188 in secondary stage of acquired naaal syphilis, 147. 150 sypniUs of pharynx, 595 Peach cold, 194 Peenash, 229 Pemphigus of larynx, 690 treatment, 691 of pharynx. 604, 605 Pent-up pus in antrum of Highmore, 368 treatment, 373 in frontal sinus. 405 Perforation of septum, 331. See also Septum^ perforation of. of soft palate, 450 Perforator. Doiiglas' antrum, 374 Periadenitis, epipharyngeal, chronic, 431 bacteria in. 434 complications. 434, 435 diagnosis, 434 influenxa in, 434 Logan's operation for, 436 patholo^, 422 prognosis, 434 retraction of membrana tympani in. 433 rhinitis in. 434 sclerosis of middle ear in, 433 s^inptoms, 436 treatment, 436 Perichondritis as cause of cough, 632 of edematous laryngitis, 657 of larynx, 668. See also Larynx, ehondriH* of. INDEX. 837 Periohondrium of septum, 289 Perier's method of laiyngiectomy, 800 Periodical h^pereethetic rhinitis, 194 Periostitis m acute purulent empyema of frontal sinus, 404 in confined suppuration of frontal sinus, 408 Periphaiyngeal phlegmon, 527 Peritonsillar abrcess. 482. See also A6«r«M, UmaiUar. involvement in epidemic influenxa, 88 phlegmon, 482 Pertussis, acute simple rhinitis in, 83 and membranous laryngitis, differentiation, 665 Pf eiffer's bacillus in epidemic influensa, 87 Pharyngeal bursa, 26 as cause of chronic nasopharyngitis, 426 suppuration of, empyema of sphenoidal smus and, differentiation. 397 recess, 26 tonsU, 26, 44, 238. 456, 457 abnormalities of development in. 462 anemia in, 463 choking in, 463 climate as cause, 459 cough in, 462 deafness in, 462, 463 desire to swnllow in, 464 diagnosis, 464 earache in, 463 elongation of uvula in. 463 enlargement of faucial tonsil in. removal, 469 epistaxis in, 463 etiology, 458 eye-n^mptoms in, 464 facial expression in, 462 glandular enlargement in, 458 headache in, 464 hjrpertrophic tonsillitis associated with, 490 impairment of smell in, 464 of taste in, 463 in rhinitis, 459 inherited tendency, 458 involvement of Eustachian tube in, 463 irritating materials as cause, 459 mental condition in. 462 mouth-breathing in, 462 nasal obstruction from. 457 pathology, 460 edematous or cyanotic, 461 four varieties 460 hard variety, hyperplastic, 461 inflammatory, 461 microscopic appearance, 460 soft variety, 460 prognosis, 464 recurrence, 458 relaxation of soft palate in, 463 shape of nasophaiynx in, 464 susceptibility to infectious diseases in. 463 symptoms, 461 synonyms, 457 treatment. 464 anesthesia in, 466 voice in, 463 xerostoma in, 463 Phaiyngitis, acute, 521 as cause of chronic pharyngitis, 561 of follicular pharyngitis, 567 constitutional symptoms in, 523 cough in, 523 definition, 521 diagnosis, 523 ear-symptoms in, 523 edema in, 522 etiology, 521 exudate in. 522 formation of membrane in, 522 headache in, 523 impairment of hearing in, 523 Pharyngitis, acute, impairment of taste in, 523 involvement of adjacent structures in, 523 of lingual tonsil in, 523 mucous membrane in, 521 color, 522 non-infectious, membranous inflamma- tion in, 522 pain in, 523 patholo^, 521 prognosis, 523 secretion in, 522 symptoms, 522 synonym, 521 treatment, 524 urine in, 523; voice in, 523 atrophic, 573 after chronic inflammatory process, 573 atrophic rhinitis as cause, 574 bacteria in, 575 bacteriological examination, 575 cough in, 575 diagnosis. 576 etiology, 573 involvement of Eustachian tube in, 675 of nasopharynx in, 575 mucous membrane in, 575, 576 nasal obstruction as cause, 574 odor in, 576 patholo^, 576 prognosis, 576 secretion in, 574, 575 symptoms, 575 nrnonyms, 573 throat in, 575 treatment. exudative, 560 follicular. 566 acute pharyngitis as cause. 56 i age in, 566 asthma in, 570 climate as cause, 567 constitutional symptoms, 570 cough in. 566. 570 definition, 566 diagnosis, 571 etiolop:^, 566 exciting, 567 predisposing, 566 exudative form, 569 follicular laiyngiUs associated with, 684 gastric derangements in, 570 glandular involvement in, 568. 569 ^ ypertrophy in, 568 impairment of hearing in, 570 of smell in, 570 of taste in, 570 intestinal derangements in, 570 irritation in nasopharynx as cause, 567 mental dulness in, 570 mucous membrane in, 566, 568, 570 nervous phenomena as cause, 567 occu|>ation as cause, 567 pain in, 570 prognosis, 571 secretion in, 569, 570 sex in, 566 skin-eruptions in, 570 q;>read of inflammatory process, 570 straining of voice as^;ause, 567 symptoms, 569 svnonyms, 566 throat uneasiness in, 569 tobacco as cause, '567 treatment, 571 folliculous, 566 gani^nous, 548 etiology, 548 glandular involvement in, 549 odor in, 549 pain in, 549 prognosis, 549 s>'nonym, 548 temperature in, 549 treatment, 549 granular, 566 hemorrhagic. 551 definition, 551 pain in, 551 symptoms, 551 treatment. 551 herpetica, 605 hypertrophica lateralis, 570 in chronic hyperplastic ethmoiditis. 386 infective, 52i5 bacteria in, 527 definition, 526 diagnosis. 528 etiology, 526 headache in. 527 hyperplastic rhinitis in, 121 liquefaction-necrosis in, 527 mucous membrane in, 527 pain in, 527 Pharyngitis, infective, pathology. 527 prognosis, 527 pseudobacillus of diphtheria in, 527 sensitiveness of throat in. 527 staphylococcus in, 527 streptococcus as cause. 527 symptoms, 527 synonyms, 526 treatment, 528 ulceration in, 527 lateralis, glandular. 552 cough in, 552 ear-symptoms in, 552 etiology, 552 pain in, 552 pathology, 552 symptoms, 552 treatment, 553 Uthemic. 580 membranous, 529 simple, 529 varieties, 529 occupation-, 549 definition, 549 edema of glottis in, 550 etiology, 549 , foreign bodies as cause, 549 synonym, 549 treatment, 550 phlegmonous. 526 preceding lupus of pharynx, 590 rheumatic, acute, o80 constant desire to swallow in, 582 definition, 580 diagnosis, 582 etiology, 580 exposure to cold and dampness as cause, 581 involvement of mucous membrane in. 582 Uthemia in, 581 mucous membrane in, 581 pain in, 581, 582 pathology, 581 previous attacks. 582 prognosis, 582 symptoms, 581 synonyms, 580 throat in. 582 treatment, 582 uric-acid diathesis in. 580 chronic, 584 definition, 584 diagnosin, 584 etiology, 584 involvement of larynx in, 584 patholo^% 584 prognosis, 584 s>inptoms, 584 inrnonyni, 584 throat in, 584 treatment, 585 voice in, 584 sicca, 573 streptococci, 526 subacute, 566 pathology, 566 symptoms, 566 treatment, 566 suppurative, 526, 527 traumatic, 549 Pharyngocele, 520 Pharjiigomycosis. 606 and keratosis of pharynx, differentiation, 613 bacteria in, 607 cough in, 607 diagnosis, 607 etiology, 606 leptothrix as cause, 606 pathology, 607 prognosis, 608 symptoms, 607 INDEX. 839 Pharyngomycosis, treatment, 608 Phaiyngoflcope, Hays', 42 Pharyngotypnoid, 557^ Pharynx, actinomycosis of, 600 death from. 602 diagnosis, 602 discharge in, 601 etiology, 600 gastric disturbances in, 601 granulation-tumor in, 600 metastasis in, 601 odor in, 601 pain in, 601 I>atholo^. 600 prognosis, 602 ray-fungus as cause, 600 swelling in, 601 symptoms, 601 systemic symptoms, 601 treatment, 6(K2 adhesion of soft palate to, closure of naso- phar^mx by, 450 alterations in, in tertiary sj'philis of phar- ynx. 596 anemia of, 614 age in, 615 constant desire to swallow in, 615 elongation of uvula in, 615 mucous membrane in. 615 secretion in, 615 sex in, 615 symptoms. 615 treatment. 615 ulcer in, 614 treatment, 614 anesthesia of. 615 etiology^ 615 prognosis, 616 treatment, 616 aneurysm of. 614 angioma of, 242 angioneurotic edema of, 584 treatment, 586 atresia of, coiigenital, 519 black tongue involviiuE, 555 carcinoma of, 271. See also Carcinoma of pharynx. consumption of, 586 deformities of, 519 dilatation Qf, 52^ diphtheritic paralysis of, 618 diseases of, 518 lactic bacteriotherapy in, 528 diverticulum of, 520 difficult swallowing in, 520 etiology, 520 symptoms, 520 treatment, 520 dome of, 26 ecthyma of, 604 equinia of, 697 erythema exudativum of, 604 multiforme of, 604 foreign bodies in, 619 symptoms. 619 treatment. 620 glanders of, 597 acute, abscess in, 598 bacteria in. 598 constitutional symptoms in, 598 fever in, 598 glandular involvement in, 598 headache in, 598 imi>airment of deglutition and phona- tion in, 598 joints in, 598 nodules in. 598 pain in, 598 secretion in, 598 sweats in, 598. 599 ^ swelling in, 598 symptoms, 598 Pharynx, glanders of, acute, ulceration in, 598 and variola, differentiation, 599 animals as cause, 597 Bacillus mallei as cause, 597 chronic, constitutional symptoms. 599 death in, 599 discharge in, 599 ^andular involvement in, 599 impairment of swallowing and speak- ing in, 599 pain in, 599 swelling in, 599 symptoms, 599 diagnosis, 599 etiology, 597 farcv Duds in, 598 maUein in, 6()0 mucous membrane in, 597 patholo^, 597 prognosis, 600 symptoms, 598 synonyms. 597 treatment. 600 hemorrhagic ulceration of, 551 herpes of, 605 definition, 605 diagnosis, 606 etiology, 605 mucous membrane in« 605 pain in, 605 I>atches in, 605 prognosis, 606 symptoms. 605 synonyms, 605 throat in, 605 treatment, 606 hyperesthesia of. 616 treatment, 616 hyperkeratosis of, 608 hyperplastic change in, 572 in chicken-pox, 558 treatment, 558 in erysipelas. 555 prognosis, 556 symptoms. 556 treatment, 556 in exanthemata, 553 in febrile diseases, 553 in pout. 556 in influensn, 557 in intermittent fever, 556 treatment, 556 in la grippe, 557 in measles, 555 treatment, 555 in scarlet fever, 553 treatment, 554 in small-pox, 554 treatment, 555 in typhoid fever, 557 in typhus fever, 557 treatment, 557 in varioloid, 558 infectious granuloma of, 586 insularities in formation of, as cause of chronic pharyngitis. 561 irritation of. in nc^al polypus, 259 keratosis of. 608 age in. 6C8 amyloid degeneration of mucous glands in. 610 and Paget's disease of nipple, micro- scopic resemblance. 611 and phai^iigomycosis, differentiation, 613 bacteria m. 612 cells in, 610 connective-tiasue impillfB in, 609 cough in, 612 definition, 608 diagnosis, 613 etiology, 608 fibrous bands in, 610 840 INDEX. Phfuynx, keratosis of, forms of, 612 hyaline change in, 611 keratohyaline, 610 not dependent on leptothrix, 609 papillary budding in, 610 pathology, 609 quills in, 612, 613 sex in, 608 stiffness in throat in, 609, 612 subepithelial buds in, 609 symptoms, 612 synonym. 608 systemic condition in, 608 treatment, 613 tufts in. 612. 613 lipoma of. 253 lupus of; 590 cicatrisation in, 591 course, 591 diagnosis, 591 ear-symptoms in, 591 epiglottis in, 591 etiology, 590 involvement of Eustachian tube in, 590 mucous membrane in, 590, 591 nodules in, 590, 591 pathology, 590 preceded by pharyngitis, 590 projEnosis, 592 shrinking of uvula in, 591 symptoms, 590 tonsil in, 591 treatment, 592 tubercular manifestation, 590 ulceration in, 591 voice in, 591 lymphosarcoma of, 282 malformations of, 519 malleus humidus of, 597 mucous membrane of, effect of climate on, 580 neuralgia of, 617 treatment, 617 neuroses of, 615 of motion, 617 nystagmus of, 617 pi4)illoma of, 235 symptoms, 235 treatment, 235 paralysis of. 617 and spasm of pharynx, differentiaUon, 617 diapiosiB, 618 dimculty in swallowing in, 618 diphtheritic, 618 etiology, 617 facial expression in, 618 prognosis. 618 symptoms, 618 treatment, 619 paresthesia of, 616 etiology, 616 prognosis, 616 treatment, 617 pemphigus of. 604. 605 pneumococcic infection, 548 diagnosis, 548 symptoms, 548 tuberculosis after. 548 ulceration in. 548 pulsating arteries of. 613 reflex nasal neuroses of, 208 sarcoma of, 281. See also Sarcoma of phar- Ifnx. slanting, as cause of chronic pharyngitis, 561 spasm of, 617 and paralysis of esophagus, differentia- Uon. 617 of pharynx, differentiation, 617 and stricture of esophagus, differentia- tion, 617 diagnosis, differential, 617 treatment, 617 Pharynx, stenosis of. 519 disease of vertebral column as cause, 520 enlargement of thyroid gland as cause, 520 extrinsic, 520 Hodgkin's disease as cause, 520 retropharyngeal abscess as cause, 520 spasmodic, 520 symptoms, 519 traumatic, 519 treatment, 519 tubercular, 519 streptococcic infection of, 547 symptoms, 547 treatment, 548 syphilis of, 592 acquired, 592 congenital, 592 diagnosis, 596 ear-symptoms, 594 primary, 593 glandular involvement in, 594 pain in, 594 symptoms, 593 prognosis, 596 secondary', 594 cough m, 594 erythema in, 594 mucous patches in, 595 S3fmptoms, 594 tertiary, 595 adhesions in, 596 alterations in pharyiix in, 596 discharge of necrotic tissue in, 596 prumma-formation, 595 mvolvement of brain in, 596 of vertebr» in, 596 mucous membrane in, 595 odor in. 596 pain in. 596 ulceration in. 595 treatment. 597 syphilitic hyperplasia of , congenital, 592, 593 treatment. 593 traumatic stenosis of, 519 tubercular stenosis of, 519 tuberculosis of, 586 cicatrisation in, 587 cough in. 587. 588 curetment in. 589 diagnosis, 588 moth-eaten appearance of mucous mem- brane in, 587 odor in, 588 otalgia in, 587 pain in, 587 painful deglutition in, 587 prognosis, 588 pulmonary symptoms, 588 secretion in, 587 symptoms, 586 synonjrms, 586 treatment, 588 tubercles in, 587 ulcers in, 587 voice in, 587 ulceration of, from rheumatism, 581 urticaria of. 604, 605 edema of glottis from, 605 vault of. 26 Phenol in sphenopalatine ganglia neuralgia, 357 Phillip's electric head-lamp, 33 PhlebectasiA laryngea, 688 Phlegmon, peripharyngeal, 527 peritonsillar, 482 PUegmonous inflammation, acute, of lingiiiJ tonsil, 515 of antrum of Highmore, 384 laryngitis. 654, 656 pharyngitis, 526 rhinitis. 105, 183 diagnosis, 105 INDEX. 841 PhlegmonouB rhinitiB, septic condition froai, 106 treatment, 106 tonsilUtia. 482 Phlegm-producing membrane, 22 Phonation. drawback, 752 function of nasal cavities, 28 Photophobia in secondary stage of acquired nasal syphilis, 150 Phthisis, laryngeal, 703 nasal; 166 nasalis, 166 Physiologic alphabet, Makuen's, 757 Phy8iolo«cy of accessory nasal cavities. 17, 27, Pierce's divulsor, 485 tonsil-rlamp, 499 tonsil-punch, 497 Pillars, sarcoma of. 281 Pincet, Brun's epiglottis, 653 Pitch of voice, 734 modification, 733 Pituitary membrane, 22 Plethora, color of mucous membrane of ac- cessory cavities in, 23 Plethoric rhinitis, 138 Pleuritic cough, 634 Plexus, Cruveilhier's, 242 venous, 24 Pneumobacillus of Friedl&nder, 71 Pneumococcic infection of pharynx. 548 diagnosis, 548 symptoms, 548 tuberculosis after, 548 ulceration in. 548 Pneumococcus, Friedl&nder's, 70 of Frftnkel, 71 Pneumonia, catarrhal, after spasmodic laryn- gitis, 651 in nasal glanders, 176 Pneumonokoniosis as cause of chronic phar^ yngitis. 560. 561 Pocket set, illuminating, 31 Poisonous saliva, 57 Pollen as cause of hyperesthetic rhinitis, 200 catarrh. 194 e£Fect of, in hyperesthetic rhinitis, 196, 197 Polypoid hypertrophy and nasal polypus, differentiation, 259 Polyp-scissors. 261 Polypus, bleeding, of septum. 347 in nasal hydrorrhea, 143 nasal, 256 and lupus, differentiation, 173 and mucoid degeneration, differentiation, 260 and pobi^id hypertrophy, differentia- tion, 259 associated with hyperplastic rhinitis, 119 asthma from, 259 bleeding, 248 blood-supply in, 259 color, 257 diagnosis, 259 discharge in, 259 effect of weather on, 257 etiology, 256 eye-symptoms in, 259 facial deformity from, 259 fibrous. 261. See also Myxofibroma, natal. gelatinous, 265 impairment of smell in, 259 irritation of pharynx and larynx in, 259 mucous, 265 nasal obstruction in. 259 nerve-filaments in, 259 papillary edematous, 257 pathology, 258 pedunculated variety, 257 prognosis, 260 reflex neuroses in, 259 sessile variety, 257 Polypus, nasal, sixe and shape. 257 symptoms, 259 systemic derangement in, 257 treatment, 260 voice in, 259 Postnasal catarrh, acute, 421 chronic, 425 from ulceration of uvula, 448 cavity, anatomy of, 25 sensation of accumulated material in,^ in atrophic rhinitis due to pre-existing lesion. 132 lamp, Kyle's, 41 space, 18 in chronic nasopharyngitis, 430 syringe, 47 Posture in tonsillectomy, 495 Potas^um iodid and salvamn in tertiary syphilis, 157 Potter's serrated scissors, 249 Pouches of lar^^nx, dilatation, 629 Preglottic tonsiUitis, 514. See also TonnllUis, prcglottic. Pregnancy, varices of lingual tonsil in, 517 Probe, nasal, 47 Prof eta's law of immunity in nasal syphilis. 146 Progressive bulbar paralysis of pharynx. 618 symptoms, 618 Prolapse of laryngeal ventricles, 750 Pruritic rhinitis, 194 Psellism. 749 Pseudobacillus of diphtheria in infective phar^ yngitis, 527 Pseudocroup, 649 Pseudodiphtheria. bacillus of, 70 Pseudokousma, 749 Pseudomembrane in hay fever, 203 Pseudomembranous croup, 661 and spasmodic laryngitis, differentiation. 651 inflammation of mucous membrane. 64 laryn^Us, 661 rhinitis, 97 primary, 97 Puberty, change of voice at, improper, 752 larynx in, 752 treatment, 752 cough of, 633 Pulmonary diseases from foreign bodies. 716 hemorrhage and larjmgeal hemorrhage, dif- ferentiation, 714 symptoms of membranous laryngitis, 664 of tuberculosis of pharynx, 588 tuberculosis and foreign body in larynx, differentiation, 729 Pulsating arteries of pharynx, 613 Pulse in diphtheria, 534 in spasmodic laryngitis. 650 Punch, Farlow's tonsil, 497, 498 Pierce's, 497 Purpura hjemorrha^ca of larynx, 642 Purulent ethmoiditis, 387. See also Ethmoid- Ui», suppurating. inflammation, acute, of antrum of High- more, 364. See also Empyema oj antrum of Hiohmore. of frontal sinus, 402. See also Empy- etna of frontal »%nus. chronic, of antrum of Highmore, 366. See also Empyema of antrum of Highmore. of frontal sinus, 404. See also Empyema of frontal mnut. laryngitis, 654, 656 nasal catarrh. 140 rhinitis, 139. See also Rhinitif, purulent. Pus in acute purulent inflammation of antrum oi Highmore, 365 of frontal sinus, 403 in chronic purulent inflammation of frontal sinus. 405 842 INDEX. Pub in confined suppuration of antrum of HiRhraorp. 369 treatment, 373 in secondary stage of acquired nasal syph- ilis, 147 in tonsillar abscess, 483 ^ pent-up, in antrum of Highroore, 368 treatment, 373 in frontal sinus, 405 Pustular inflammation of mucous membrane, 66 Putrid sore throat. 530, 548 P>'emia and nasal glanders, differentistion, 176 in confined suppuration of frontal sinus, 409 Pyogenic cocci, 71 Qutnckb'0 disease. 585 Quinlan's syringe for injection of paraflSn, 155 Quinsy, 482 Race predisposing to hyperesthetic rhinitis, 198 Rag-weed fever, 194 R41e8, absence of, in varices of lingual tonsil, 517 Raspberry form of hjrperplastic rhinitis, 119 Rattling cough, loose, 633 Ray-fungus, 67 as cause of actinomycosis of pharynx, 600 Receptacle for waste cotton, 3o Receesus pharvngeus, 26 Rectal method of ether anesthesia, 468 Recurrent laryngeal nerve, 771 XMiralysis, 769. See also LarynQeal partd- y»M, recurrent. ulcerative laryngitis, 696 Red nose, 215 Reflecting mirrors for illumination. 31 Reflex nasal neuroses, 193. See also Newotet, reflex nasal. Regurgitation in hypertrophic tonsillitis, 489 Reminders in tertiarj' period of acquired nasal syphilis, 151 Renal cough, 634 Resonance tube in production of voice. 737 sise of, controlling volume, tone, and timbre of voice, 737 Resonant cough, decp^ 633 Respiration, difficult, in anesthesia, 467 in secondary stage of acquired nasal s>'philL8, 150 in cijptic tonsillitis. 475 in edematous larj'ngiUs, 658 in lar>iigeal hemorrhage, 713 in membranous larjriigitis, 663 in spasm of lar>'nx in children, 647 in suppurative laryngitis, 655 interference with, in sarcoma of larynx, 285 Respiratory function of nasal cavities, 27 neuroses, 193 tract, adenocarcinoma of, 286 adenoma of, 238. See also Adenoma cj respiratory tract. angioma of, 240 carcinoma of, 267 chondroma of, 243 cysts of, 287 embr>'onic connective-tissue tumors of, 278 epithelial tumors of, 267 exostosis of. 245 treatment, 246 fibroma of, 247 and adenoma, differentiation, 240 lesions of, as cause of congestion of mu- cous membrane, 114 lipoma of, 253 mixed tumors of, 286 mucocele of, 265. See also Mucocele of respiratory trad. Respiratory tract, myxocarcinoma of. 286 myxoma of, 256. See also Polypus, na*ai. osteoma of, 254 papilloma of, 234 sarcoma of, 278 subdivisions of, 17 telangiectoma of, 286 epistaxis in, 286 teratoma of, 286 tumors of, 232 classification, 232 malignant. 232 non-malignant, 232 Retention-cysts. 287 of antrum of Highmore, 384 treatment, 287 Retronasal catarrh, acute. 421 chronic, 425 Retropharyngeal abscess. 602 and membranous larjrngitis, diBercDr tiation, 664 as cause of stenosis of pharynx, 520 associated with caries of cervical verte- bra, 603 cough in, 603 cri de canard in, 56 diagnosis, 603 (Gfferential. 603 fever in. 603 in adults. 603 in children. 602 pain in, 603 prognosis. 603 treatment. 604 Rheumatic angina, 580 diathesis predisposing to hay fever, 199 laryngitis. 655. See also Laryngitis, rheu- matic. pharyngitis, acute. 580. See also Phar' ynffitis, rheumatic, acute. chronic, 584. See also Pharyngitis^ rheumatic, chronic. sore throat. 580 tonsillitis, 478. See also TontiUitis, rhett- matic. Rheumatism, acute artictilar, acute simple rhinitis in, 83 laryngitis in, 642 as cause of chondritis of larynx, 669 diagnosis of chondritis of laiynx due to. 675 excessive alkalinity of secretion as cause, 58 laryngeal. 655 nasal ulcers in, 190 pathology of chondritis of lar>iix due to. 671 prediq;>osing to acute simple riunitis. 75 prognosis of chondritis of larynx due to. 676 symptoms of chondritis of larynx due to, 674 tonsil and, relationship, 492 treatment of chondritis of larynx due to, 677 ulceration of pharynx from. 581 Rhinitis, acute, idiopathic, 74 simple, 72 asthma predisposing to, 75 bacteriology, /5 causes. 74 exciting, 75 predisposing, 74 chilling of body as cause, 75 climate predisposing to, 75 clothing predisposing to, 75 complications, 78 contagiousness, 75 definition. 74 diagnosis. 78 dipTococcus corysn in. 75 drainac^e in, 77 epidemic, 75 etiology. 74 foreign bodies as cause. 75 from inflammation of accessory cavi- ties, 75 INDEX. 843 Rhinitis, acute, simple, hay fever precUspoe- ioff to, 75 hereditv as cause, 75 idiopathic, 74 form, ^mptoms, 77 idioeynorasy to, 75 in acute articular rheumatism, 83 in anemia, 84. See also Anemic rhini- tis. in constitutional diseases, 82 in diabetes melUtus, 83 in diphtheria, 83 in enteric fever. 83 in erysipielas, 84 in infectious diseases, 75 in lithemia, 91 in measles, 82 in pertussis, 83 in scarlet fever, 83 in scorbutus. 84 in scrofula, 85 in small-pox, 83 in tuberculosis, 85 in typhoid fever, 83 in variola, 83 in whooping-couch, 83 in young, 91 and purulent rhinitis, differentiation, 92 and specific rhinitis, differentiation, 91 complications, 93 etiology, 91 prognosis, 92 symptoms, 91 treatment, 92 labial herpes in, 77, 78 leukocytes in, 76 lowered bodily resistance as cause, 74 malformations of nasal passages as cause, 75 nasal discharge in, 77 occupation, 76 patholo^, 76 prognosis, 78 rheumatism predisposing to, 75 as cause, 76 serum in, 76 sexual excesses predisposing to, 75 sneesing in, 77 stuffiness in nose in, 77 symptoms, 76 synonyms, 74 s>'phibs predisposing to, 75 tendency to, in chronic simple rhinitis, 109 traumatic, 76 treatment, 78 tuberculosis predisposing to, 75 voice in, 77 anemic, 84. See also Anemic rhiniti$. as cause of chronic pharyngitis, 561 atrophic, 108, 124 as cause of atrophic pharyngitis, 574 as local manifestation of constitutional lesion, 137 atrophy of turbinates in, 128 bacteria in, 130 chronic, 125 classification, 125 due to pre-existing local lesion, 129 accessory cavities in, 135 age occurring, 129 alteration of voice in, 135 bleeding from nose in, 132 complications, 135 cough in, 133 crusts or slugs in, 132, 133 diagnosis, 135 dyspeptic symptoms, 133 epistaxis, in 133 etiology, 129 Rhinitis, atrophic, due to pre-existinj^ local lesion, Eustachian tubes m, 135 e>'e8 in, 135 faciee in, 134 general condition in, 133 impairment of hearing in, 134, 135 of smell in, 134 of taste in, 134 lactic-acid bacteria in treatment of, 136 mucous membrane in, 132, 134 nasopharynx in, 135 nervous complications in, 135 odor in, 132, 133 pain in, 133 patholo^, 130 prognosis, 135 secretion in, 133 sensation of accumulated material in postnasal cavity in, 132 snub-nose in, 134 symptoms, 132 treatment 135 turbinates in, 132 ulceration of septum in, 132 due to trophic lesions, 139 fetid, 125 general remarks on, 126 m aged, 129 in children, 127 mucous membrane in, pathological alter- ations, 130 oxena in, 129 primary, 126 secondary, 126 to lesion elsewhere, 137 accessory sinuses in, 139 atrophy of mucous membrane in, 138 complications, 139 diagnosis, 138 etiology, 137 Eustachian tubes in, 139 exudation in, 138 eyes in. 138 headache in, 138 lacrimal duct in, 139 loes of smell in, 138 mucous membrane in, 137 nasal obstruction in, 138 neuralgia of nasal nerve in, 139 patholo^, 137 prognosis, 138 secretion in, 138 symptoms, 138 treatment, 139 ulceration in, 139 voice in, 138 Snonyms, 125 cers in, 127 atrophica, 125 simplex, 125 caseosa, 86 caseous, 86 synonyms, 86 treatment, 87 catarrhal, 74 catarrhalis, 74 cholesteatomatous, 86 chronic, 107 atrophic, 125 edematous, 144. See also Rhinitia, cif anotic. fetid, 125 hypertrophic, 116 simple, 107 accessory cavities complicated in, 109 aural complications, 109 complications, 109 constitutional debility in, 108 definition, 107 diagnosis, 109 844 INDEX, Rhinitis, chronic, simple, discharge in, 108 enlarged turbinates in, 110 removal. 111 etiology, 107 eye complications, 109 formation of crusts in, 108 gastric derangement in, 109 eadache in, 108 impairment of smell in, 108, 109 of taste in, 109 leukocytes in, 108 mucous membrane in, 109 neuroses in, 108 patbolo^, 108 prognosis, 109 symptoms, 108 synon>'ms, 107 tendency to acute rhinitis in, 109 treatment, 109 constitutional, 112 local, 113 cirrhotic, 125 croupous, 97 and nasal diphtheria, differentiation, 99 definition, 97 diagnosis, 98 differential diagnosis, 99 patholo^, 97 prognosis, 99 symptoms, 98 synonyms, 97 treatment, 99 internal, 100 local, 99 cyanotic. 144 associated with asthma, 144 cyanotic congestion in tissues remote to or^an in, 144 defimtion, 144 diagnosis, 144 etiolop', 144 hepatic involvement, 144 patholo^, 144 prognosis, 144 swelling of turbinates, 144 symptoms, 144 synonym, 144 treatment, 144 ulceration in, 144 diphtheritic, 102 chronic form, 102 synonym, 102 edematous, acute, 105 etiology, 105 treatment, 105 chronic, 144. See also RhinUi$, ctfanoHc. feUd. 125 atrophic, 125 chronic, 125 fibrinoplastic, 100 chronic form, 101 etiology, 100 false membrane in, 100, 101 general remarks on, 101 treatment, 101 foetida atrophica, 125 hyperesthetic, 104, 125 actinic rays, condition simulating due to, 199 altered chemistry of secretion as cause, 195 areas of hyperesthesia in nasal mem- brane in, 202 of increased intranasal irritation in, 201 associated with reflex nasal asthma, 210 asthmatic symptoms in, 204, 205 catarrhal conditions predisposing to, 199 chemistry of saliva in, 195 definition, 194 diagnosis, 205 diseases of nasal structures predisposing to, 199 Rhinitia, hjrperesthetio. effect of pollen in, 196, 197 etiolopr 194 exciting, 199 predisixMing, 194 geogrwnic distribution, 198 gouty diatheeispredu^KMing to, 199 eadiache in, 203 high altitude in« 198 inherited tendencv to, 195 malformations of nasal stnicturea pre- disposing to, 199 mucous membrane in, 195, 196, 203 nervous habit predisposing to, 194, 195, 198 pain in, 203 pallor of mucous membrane in, 201 pathology, 201 periodical, 194 pollen as cause of, 200 prognosis, 205 pseudomembrane in, 203 race predisposing to, 198 riieumatic diathesis predunosing to, 199 season predisposing to, 199 sun's rays, condition simulating due to, 199 symptoms, 203 of attacks, 203 Bjmonyms, 194 treatment, 205 constitutional, 206 of irregularities of nasal cavities and hyperaensitiveness, 207 of neurotic temperament, 207 hyperesthetica, 194 hyperplastic, 116 altered timbre of voice in, 119 S4)pearance of hyperplastic tissue in, 119 associated with deflection, exostosis, or enchondrosis of septum, 118 asthma in, 121 bronchitis in, 121 chorea in, 121 climate as cause, 117 color of mucous membrane in, 118 complications, 121 condition of inferior turbinate in, 118, 119 of middle turbinate in, 118, 119 cough in, 119 deafness in, 121 definition, 116 diagnosis, 119 digestive disturbances in, 121 discharge in, 118 electrolysis in, 122 engorgement of mucous membrane in, 118 epilepsy in, 121 etiology, 116 eye-compUcations in, 121 eye-lesions in, 119 face-ache in, 119 headache in. 119. 121 hyperplastic tissue in, 118 hypersecretion in, 1 19 impairment of hearing in, 119 of sensibility of mucous membrane in, 118 of smeUin, 118, 121 increase in turbinated bone in, 118 of connective-tissue elements oi sub- mucosa in, 116 inflammatory processes in, 118 involvement of nasal fosse in, 119 mouth-breathing in, 118 mucous membrane in, 117 mulberry form, 119 nasal breathing in, 118 obstruction in, 118 polyps associated with, 119 nasopharyngitis in, 121 obstruction of nasal duct in, 121 INDEX. 846 Rhinitis, hyiwrpIasUc, obstruction of sinus optics in. 121 occlusion of lacrimal canal in, 119 pathoIo8;y, 117 phalangitis in, 121 predisixwing to acute simple rhinitis, 75 prognosis, 120 raspberry form, 119 roofs of fosMB in, 119 secretion in, 118 nasal cavity in, 119 septum in, 119 q>asms of glottis in, 121 swollen mucous membrane in, 1 18 symptoms, 117 inrnonyms, 116 thickened mucous membrane in, 118 tracheitis in, 121 treatment, 121 tumors in, 121 hypertrophic, 108, 116 chronic, 116 in chronic epipharyngeal periadenitis, 434 in hereditary nasal syphilis, 163 intumescent, 115 condition of voice in, 1 15 definition, 115 dryness and tickling of throat in, 115 excess of mucus in, 1 15 skin of nose in, 115 swelling of mucous membrane in, 115 symptoms, 115 taking cold in, 115 treatment, 115 lithemio, 90. 194 treatment, 90 chemicsJ analysis of secretions in, 90 constitutional, 90 local, 90 membranous, 97 etiolo^, 97 obstructive, 116 occupation-, 102 definition, 102 degeneraUon in, 103 etiology, 102 patholo^, 103 prognosis, 103 symptoms, 103 synonym, 102 treatment, 103 ulceration in, 103 oedematosa chronica, 144 pharyngeal tonsil in, 459 phlegmonous, 105, 183 diagnosis, 105 septic condition from, 106 treatment, 106 plethoric. 138 pruritic, 194 pseudomembranous, 97 primary, 97 purulent, 139 and acute simple rhinitis in young, dif- ferentiation, 91 bacteria in, 140 definition, 139 discharge in. 140 embryonic cells in, 140 etiology. 140 in children, treatment, 141 in newborn, etiology, 140 mucous membrane m, 140 odor in. 140 pathology. 140 prognosis. 141 symptoms, 140 ^Tionym, 140 treatment, 141 sclerotic. 125 scorbutic, 84 scrofulous, 85 Rhinitis, scrofulous, synonyms, 85 treatment, 86 sicca, 125 simplex, 107 specific, 145 and acute simple rhinitis in young, dif- ferentiation, 91 strumous, 85 syphihtic, 145 traumatic, 102 tuberculous, 85 ulcerative, 104 Rhinolalia aperta, 449 RhinoUths. 224 characteristics, 224 chemistry, 225 definition, 224 diagnosis, 225 etiology, 224 pathology, 224 prognosis, 225 site, 224 symptoms, 225 synonyms, 224 treatment. 225 Rhinophar>-ngitis, 441 acute, 421 chronic, 425 mutilans, definition, 441 diagnosis, 442 etioloK>% 441 patholo^, 441 prognosis, 442 sore throat in, 441 symptoms, 441 treatment, 442 ulcer in, 441 Rhinorrhagia, 217. See also EpiUaxis. Rhinorrhea. 141. See also Hydrorrhea, namd. Rhinoscleroma, 68, 180 affecting adjacent structures^ 181 and epithelioma, differentiation, 181 and keloid, differentiation, 181 and scleroma of larynx, 689 and syphilis, differentiation, 181 bacillus of, 180 cartilage-formation in, 181 cells in, 180 comi>lications, 182 definition, 180 diagnosii, 181 etiology. 180 nodules in. 181 patholo^, 180 prognosis, 181 swelling in, 181 symptoms, 181 treatment, 182 Rhinoscope, 98 Rhinoscopy, 35 anterior, 35 posterior. 36 method of holding mirror in, 38 Richard's modification of Schults's adenotome. 469 tracheotomy tube. 787 Richardson's method of finger enucleation of tonsil. 504 Roe's op>eration for deformity from abscess of septum, 341 for septal deviation, 323 septum forceps, 300 Rdntgen rays in cancer of larynx, 278 in detecting foreign bodies. 716 in Inryngology and rhinology, 42 Rose acne, 214 catarrh. 194 cold, 194 fever. 194 Rosenm Oiler, fossa of. 26, 44 Roux's antitoxin i^'ringe. 542 Rudimentary malformations of uvula, 443 846 INDEX. Rum ooi^h. 500 Rupture in confined suppuration of frontal sinus, 406; 407 in suppurating ethmoiditis, 300 of hematoma, epistaxis aJfter, 218 in tonsillar abscess, 483 of varices of lingual tonsil, 517 Rye fever, 194 Saddle-back nose. White's operation for, 339 Sajous' laryngeal forceps, 719 snare, 260 Saliva, ammoniacal salts in, 57 biliary material in, 56 chemistry of, alteivd, 53 in hYpereethetic rhinitis, 195 etiologic influence, 57 hyperacid, 56 hypo-acid, 56 in diagnosis, 55 in hemorrhagic laryngitis, 667 odor of, 56 poisonous, 57 studv of, 56 sulphocyanid in, 57 Salvarsan and iocUd of potassium in tertiaiy syphilis, 157 in ^rphilis, 156 wter positive Wassermann reaction, 157 contra-indications, 158 intravenous injection, 158 Stparatus for, 159 erxheimer's reaction after, 160 temperature after, 160 mercury after, 157 neuro-recurrenoee after, 161 of huynx, 703 provocative injection, 161 recurrences after, 161 in syphilitic diseases of eye, 158 ulceration, 158 influence of, on Wassermann reaction, 161 Sarcoma of antrum of Highmore, 383 of ethmoidal sinuses, 393 of fauces, 281 of larynx, 284 age occurring, 284 cachexia in. 285 diagnosis, 285 hemorrhage in. 285 interference with respiration in, 286 pain in, 285 prognosis, 285 secretion in, 285 symptoms, 285 treatment, 285 ulceration in, 285 voice in, 285 of nasopharynx, 280 course. 280 diagnosis, 280 disrharge in, 280 etiologv, 280 general health in, 280 hemorrhage in, 280 impairment of hearing in, 280 nasal obstruction in, 280 pain in, 280 prognosis, 280 symptoms, 280 treatment, 281 ulceration in, 280 of nose, 278 deformity in, 279 diaraiosis, 279 discharge in, 279 hemorrhage in. 279 ^ mucous membrane in, 279 myxofibroma as nidus for devek^ment of, 262 nasal obstruction in, 279 Sarcoma of nose, pain in, 279 patholo^', 278 prognosis, 280 symptoms, 279 treatment, 280 ulceration in. 279 of pharynx, 281 cachexia in, 282 diagnosis, 282 dyspnea m, 282 edema in, 282 hemorrhage in, 282 obstruction in, 282 patholo^, 282 prognosis, 282 secretion in, 282 symptoms, 282 treatment, 282 ulceration in, 282 voice in, 282 of pillars, 281 of respiratory tract, 278 of soft palate, 281 of sphenoidal sinuses, 398 of tonsil, 283 and carcinoma, differentiation, 284 contents of, 283 Ciemy's operation for, 284. diagnofds, 284 differential, 284 involvement of glands of neck aftec 281 odor in, 283 pain in, 283 prognosis, 284 removal by incision through neck, 284 through mouth, 284 secretion in, 283 symptoms, 283 treatment, 284 ulceration in, 283 voice in, 283 Sass's tubes, 46 Saw, Kyle's nasal, 121 Saw-file, Fetterolf's, 244 ScaMormation after nasal lupus, 172 Scarlet fever, acute laryngitis in, 640 simple rhinitis in, 83 nasal ulcers in. 190 ph&ryax in, 553 treatment, 554 Soheppegrell's laryngeal electrode, 711 snare. 237 Schneiderian membrane, 22 Schroetter's fort^eps, 252 method of incising stenotic tissue in larynx. 630 Schultse, olfactorial cells of, 24 Schults's adenotome, Richards' modification, 469 Schwellenkfirper, 24 Scissors, Grant's, 253 polyp-, 261 Potter's, 249 Scleroma of larynx, 689. See also Larynx^ scleroma of. Sclerosis of middle ear in chronic epipharyn- geal periadenitis, 433 Sclerotic rhinitis, 125 Scorbutic rhinitis, 84 ulcers, nasal, 186 treatment, 186 Scrofulous osena, 85 rhinitis. 85 synonyms, 85 treatment, 86 Season predisposing to hyperesthetic rhinitis. 199 to reflex nasal asthma. 210 to taking cold. 73 Secretion, excess of ammonia in, effect of, on mucous membrane, 58 INDEX. 847 Secretion, exceosive aUcAlinity. as cause of rheu- matism, 58 effect of, on joints. 58 on mucous membranes, 58 Self-consciousness in speaking. 745 Self-retaininc nasal speculum, 308 Septal bone-forceps, 308 Septum, abscess of, 335. See also Abscess cif septum. anatomy, 19, 289 angioma of, 347 angiomyxoma of, 347 arteries of, 290 bleeding polyp of, 347 blood-cysts of, 288, 347 treatment, 347 caries of, 328 cartilage and bones of, fig. 3 cartilages of, 289 bwer lateral, 290 upper lateral, 289 cartilaginous framework of, 289 chisel. 308 I^wii*. 308 crushing, Kyle's forceps for, 300 deformities of, 293 deviation and deflection, 19, 294 congenital, 296 from disease, 294 hyperplastic rhinitis associated with, 118 traumatic, 294 treatment, 297 age for operating, 327 aqihabetical operations, 299^ Asch's operation as modified by Thomer, 313 Ballenger's operation. 319 Brown s operation, 325 Casselberry's operation, 323 Chatelier's submucous method, 299 Douglass* operation, 322 Freer's operation, 320 Gleason's operation, 316^ history and list of operations for, 312 Ingal's operation, 314 Kulian's operation, 317 Moure's operation, 323 operation for deflection due to dis- ease of central incisors, 312 with external deformity, 311 with internal deformity, 312 with redundancy, 304. 306 for simple curvature, 300 forcepte for crushing, 301 method of controlling line of fracture. 301 operation for triangle deflec- tion. 302 postoperative treatment, 301 removal of large turbinates, 302 for splitting of two halves, 304 pressure by tubes. 299 Roe's operation, 323 submucous resection, 309 after-treatment, 311 Watson's operation, 314 window resection, 320 Yankauer's operation, 321 diseases of, 289 dislocation of, 296 edema of, 335 treatment, 335 enchondroeis of, hyperplastic rhinitis as- sociated with, 118 exostosis of, hyperplastic rhinitis associated with, 118 formation of, 19 hematoma of, 347 treatment, 347 in liyperplastic rhinitis, 119 Septum, malformations of, 292 mucous membrane of, 289 swollen, in hx'perplastic rhinitis. 118 nerve-supply of, 290 perforation of, 331 a^e in, 333 euology, 331 list of causes. 333 patholoe^, 333 sex in. 333 symptoms, 334 treatment, 334 perichondrium of, 289 submucous infiltration of, 335 synechia of, 325. See also Synechia. svphilis of, 346 thickness of, 19 tumors of, 347 ulceration of, 328 age in. 329 bacteria influencing, 329 etiology, 328 in atrophic rhinitis due to pre-existing lesion. 132 site, 329 syphilitic, 329 treatment, 330 veins of, 290 Septum-knife, Allen's, 305 Kyle's, 111 Serous exudate in cryptic tonsillitis. 474 Serum, antitoxic, in diphtheria, 541 dose, 543 early use, 543. 644 in acute simple rhiniUs, 76 Sesamoid cartilages, 290 Sex in anemia of pharynx, 615 in cancer of larynx. 275 in follicular pharyngitis. 566 in hsrpertrophio tonsillitis, 487 in keratosis of pharynx. 608 in perforation of septum, 333 predisposing to epistaxis, 217 Sexual excesses as cause of chronic phar- yngitis, 560 predisposing to acute simple rhinitis, 75 excitement as cause of congestion of mucous membrane, 115 organs, affections of, as reflex nasal neurosis, 215 Sialosemeiolog>', 53 Sinexon's nasal dilator, 302 Singers' nodules. 266, 691 definition, 691 diagnosis, 693 etiolosy, 691 patholo^, 692 prognosis. 693 symptoms. 693 synonyms, 691 treatment, 693 voice in, 693 Singing, definition of, 734 Sinus, cavernous, thrombosis of j e^e signs, 420 from suppurating ethmoiditis, 390, 391 Sinuses, accessor^', bone-cysts of, 383 diseases of, 348 amaurosis in, 419, 420 amblyopia in, 419, 420 asthenopia in, 420 blepharospasm in, 419, 420 blindness from, 351, 419, 420 edema of eyelids from, 351 eye-symptoms from, 331, 354, 419 headache in. 354, 357 lesions of teeth from, 351 meningitis after, 352 negative air-pressure in, 378 neuralgia in,^ 354 neuralgic pains in. 354 orbitalabscess secondary to. 351 paralysis of eye-muscles from, 351 848 INDEX. SinuseSt accessoryt diseases of, reflex symp- toms, A2Q relation of, to eye, 416, 419 vaccine therapy in, 93, 94 dosage, 96 indications, 94 ethmoidal, actinomycoeiB of, 393 anatomy, 21 carcinoma of, 393 catarrhal inflammation, 386 diagnosis, 385 symptoms, 385 treatment, 386 diseases of, 384 fibroma of. 393 glanders of, 393 mucocele of, 392 diagnosis, 392 symptoms, 392 treatment, 393 myxoma of, 393 non-infected fluid-retention in, 392 osteoma of. 393 sarcoma of, 393 specific inflammations, 393 suppuration of. 387. See also Ethmoid- iti9, mppurating. syphilis of, 393 tuberculosis of, 393 tumors of, 393 treatment, 393 frontal, diseases of, 399. See also Fron- tal tinu*. infection of, 350 inflammatory processes involving, 349 irregularities in formation of, 350 dental lesions from, 351 nasal lesions from, 351 layers of, 23 lesions of, nasal lesions from, 51 maxillary, anatomy, 22 mucous membrane of, 22, 349 color, 23 in anemia, 23 in plethora, 23 destruction. 349 structure, 23 orbital cellulitis from, 351 pathologic alterations of, 348 sise and shape. 350 q>henoidal, diseases of, 394. See also Spherundal sinuses. suppuration of, 350 transillumination of, 372 variations in thickness of walls, 350 cavernous, suppuration of, from empyema of sphenoidal sinus, 397 maxillary, 358. See also Antrum of High- more. outlets, obstruction of, in hyperplastic rhinitis, 121 Sinusitis, chronic, lactic-acid bacteria in treat- ment of, 137 vaccine therapy in, 94 frontal, chronic, vaccine therapy in, 94 eye signs, 419 maxillarv. eye si^ns, 419 sphenoidnl, eye signs, 419 Skin in membranous laryngitis. 663, 664 involvement of. in nasal inlanders, 175 of nose in intumescent rhmitis, 1 15 sensitive, predisposing to taking cold. 73 Skin-eruptions in follicular phar>'ngitis. 570 Skin-lesions in hereditary nasal s>'philis, 163 Slanting pharynx as cause of chronic phar- yngitis, 561 Sleep, loss of, in empyema of sphenoidal sinus, 396 Slit-like nostril in catarrhal diathesis. 52 Sluder's method of tonsilleclomy, 502 Small-pox. See yariola. Smell, impairment of, in atrophic rhinitis due to pre-existing lesion, 134 in chronic h^^ierplastio ethmmditis, 386 pharvngitiSj 564 simple rhimtis, 108, 109 in confined suf^uration of frontal sinus, 406 in fibroma of nasal passage, 248 in follicular pharyii^tis, 570 in h>'[>erplastic rhimtis, 118, 121 in nasal pob-pus, 259 in pharyngeal tonsil, 464 in secondary stage of acquired nasal 8>'pb- ilis, 150 , in suppurating ethmoiditis, 389 loss of, 192 in acquired tertiary nasal sjphilis, 151 in atrophic rhinitis secondary to lesion elsewhere, 138 in ozena, 124 perversion of, 191 Smoke predisposing to taking cold, 74 Smoking as cause of chronic phai^iigitis, 560 SnareTOibb's, 243 Lewis', 502 Sajous', 260 Scheppegrell's. 237 Sneesing, 193 in acute simple rhinitis. 77 in nasal hydrorrhea, 142 in secondary stage of acquired nasal syph- ihs, 150 Snow-water as cause of cyanotic phar>'ngitis, 579 Snub-nose in atrophic rhinitis due to pre- existing local lenon, 134 Snuflfles, 74. 162. 163 Soft palate, diseases of, 443. See also PalaU, soft, diseases of. Soprano voice, 734 Sore throat, aphthous, 605 clergyman's, 560, 566, 684 gouty, 580, 584, 655 hospital, 526 in rhinopharyngitis mutilans, 441 membranous, 606 putrid, 530, 548 rheumatic, 580 ulcerative, 526 voice-users', 560 Sound and voice, differentiation, 732 definition, 741 intensity, 733 pitch, 734 quality, 734 sensation, cause, 738 Sound-perception, objective, 741, 742 intellect as factor in, 742 subjective, 741 Space, postnasal, 18 Spasm m hereditary nasal syphilis, 163 of abductors of vocal cords, 644 of glottis, 644. 648 adenoids an cause, 209 in acute laryngitis in children, 643 in children, 646 in elongation of uvula, 445 in hyperplastic rhinitis, 121 in intubation of larynx, 784 in nasal hydrorrhea. 143 of larynx, 644, 648, 649. See also Larynx, spcum of. of pharynx, 617 and paralysis of esophagus, differentia- tion, 617 of pharynx, differentiation, 617 and stricture of esophagus, differentiation, 617 diagnosis, differential, 617 treatment, 617 Spasmodic barking cough, 633 croup, 642, 644, 649 INDEX. 849 Spasmodic croup, adenoids aa cause, 209 laryngeal occlusion, 767 laryngitis, 644, 649. See also Laryngiiu, tpeumodic. stenosis of pharynx, 520 torticollis alter adenotomy, 470 Spasmus glottidis, 644 Spastic d^'spnea and hysterical aphonia, 765 paraplegia of lar>-nx, 767 Specific catarrh, 145 inflammations, 145 rhinitis, 145 Speculum, Allen's nasal, 36 bivalve nasal, 37 GleejBon's nasal, 38 Ingal's, 683 Jackson's slide, 719 self-retaining. 308 separable, for passing bronchoeocqpes, 718 Speech, 732 central brain mechanism of, 750 conversion of voice into, 735 defects of, affecting mental development, 750 age in, 751 conditions producing, 750 etiology, 749, 751 objective, 749 subjective, 749 from fati^e, 753 heredity m, 751 in backward children, 750 in feeble-mindedness, 754 mechanical, 752 paralysis as cause, 753 treatment, 755 definition, 734, 744 development of, 744 effect of diseases on, 746 of environments on, 746 hard and soft palato, tongue, and buccal cavities important factors in, 747 mechanisms m, 749 auditory, 749 oral 749 vocal, 749 stop positions in, 747 anterior, 747 middle, 748 posterior, 748 imitation of, 745 impression made by, 741 Makuen's definition, 734 peculiarities in manner of, 753 self-consciousness in, 745 transmission of thought and ideas through medium of, 745 Speech-production, 736 Sperm-inheritance of nasal syphilis, 162 Sphenoidal sinuses, anatomy, 21 carcinoma of, 398 catarrhal inflammation, 394 diamosis. 394 discharge in, 394 headache in, 394 pain in, 394 prognosis. 394 symptoms, 394 treatment, 395 diseases of, 394 difficult of diagnosis, 394 empyema of, 395. See also Empyema of tphmoidal rinut. 