None
Cavernous sinuses, 24 Cellulitis of larynx, acute, 540 of neck, 449. (See also Ludwig's an- gina. ) Cerebral croup, 529 Chemistry of body and cell-nutrition, 52 Chicken-breast due to pharyngeal tonsil, 376 Chicken-pox of pharynx, 449 pustular inflammation in, 64 Child-crowing, 529 Chill in croupous rhinitis, 89 Chilling of body an exciting cause of acute rhinitis, 71 ( ihoanse, 26 obstructed in hyperplastic rhinitis, 106 Cholesteatomatous rhinitis, 84 Chondritis of larynx, 552 diagnosis, 558 due to exposure to cold, 559 due to rheumatism, 559 due to syphilis, 558 due to traumatism, 559 due to tuberculosis, 558 due to typhoid fever, 559 etiology, 552 Chondritis of larynx, etiology, exposure to cold, 553 foreign bodies. 552 infected emboli, 552 pressure in aged, 55,2 pyemic metastasis in typhoid, 552 rheumatism and gout, 552 specific inflammations, 552 traumatism, 552 pathology, 553, 554 order of involvement of carti- lages, •">•"> 1 prognosis, 559 symptoms, 555 due to exposure to cold, 557 due to rheumatism, 557 due to syphilis, 555 due to traumatism, 557 due to tuberculosis, 555 due to typhoid fever, 555 fibrous degeneration, 558 special, due to arytenoid, 558 due to cricoid, 557 due to thyroid, 558 treatment, 560, 561 Chondroma of nasal passages, 217 of larynx, 218 of nasopharynx, 218 Chorditis tuberosa, 574 Chorea of larynx, 604 neurosis, reflex nasal, 189 Chronic infectious (specific) inflamma- tions, 65 Clergyman's sore throat, 450, 456 ( 'linieal phenomena of inflammation, 59 Cohen on diagnosis of foreign body in larynx, 596 Cohen's explanation of aprosexia, 575 tracheotomy tube, 625 Cohnheim inclusion theory, 239 ( 'old, or cold in head, 70 Collapse of nasal alse, 281 Compound fracture cause of empyema of frontal sinus, 332 Congenital syphilis of nose, 141 Conjunctivitis a complication in acute rhinitis, 74 Constipation, chronic, influence of, on mucous membrane, 50 Convulsions, neurosis of nasopharynx, 357 Corvza, abscess of septum associated with, 289 acute, 70 caseosa, 84 ozena in, 111 chronic, 97 fetid, 113 idiosyncratic (vasomotoria periodica), 173 in acquired nasal syphilis, 133, 134 INDEX. 641 Coryza in epidemic influenza, 85 Cotton-holder, 36 Cough. (See Neuroses.) due to elongation of uvula, 359 due to foreign body in larynx, 595 due to pharyngeal tonsil, 376 hacking, in intumescent rhinitis, 103 in acute inflammation of lingual ton- sil, 409 in acute nasopharyngitis, 345 in chronic suppurative inflammation of maxillary sinus, 303 in hydrorrhea, nasal, 129 in laryngitis, acute catarrhal, 521 in laryngitis, acute, in measles, 525 dry, 570 edematous, 542 in pharyngitis, atrophic, 465 follicular, 460 simple acute, 417 chronic, 454 in rhinitis, hyperplastic, 107 in tonsillitis, cryptic, 385 in tuberculosis of larynx, 586 in tuberculosis of pharynx, 475 in acute uvulitis, 362 neuroses, reflex nasal, 185, 187 treatment of, in acute catarrhal laryn- gitis, 522 Coulter's inhaler, 48 Crapon, Ernest, on laryngofissure in tuberculosis of larynx, -591 Croup, catarrhal, 533 cerebral, 529 diphtheritic, 544 false, 527, 533 fibrinous, 544 idiopathic membranous, 544 membranous, 544 mucous, 533 pseudomembranous, 544 spasmodic, 533 spurious, '>'■'>'■'< true, 5 I 1 Croupous pharyngitis, 422 Crusts, character of, 12] in rhinitis, atrophic, due to pre-exist- ing loca I lesion, 1 1 9 si n i j tic • chronic, 98 Cruveilhier's submucous venous plexus, 216 ( Iryer on sinuses, 293 et seq. ( !ryptic tonsillitis, 38 I Cyanotic congestion in pharyngitis, atrophic, 165 rhinitis, 130. (See Rhinitis, edematous chronic. ( lynanchea i rachealis, 5 15 i iystoma, 258 Cysts, 258 classification of, 258 II Cysts, cystoma, pathology, 258 symptoms, 258 treatment, 258 dermoid, pathology, 258 simple or retention, 258 pathology, 258 treatment, 258 in chronic catarrhal inflammation of* frontal sinus, 331, 340 in maxillary sinus, 315 Czerny's method of operation in sarcoma of tonsil, 256 DaCosta, J. Chalmers, on treatment of hereditary syphilis, 145 on treatment of syphilis of larynx, 582 on treatment of glanders, 156 Deafness as complication of hyperplastic rhinitis, 109 Deflections of septum, illustration of, 264 Deformities of larynx, 515 of septum, 264 Deformity, facial, in rhinitis, caseous, 85 in sarcoma of nasal cavities, 251 Delavan's electrolysis needles, 216 Dennis, antiseptic syringe, 590 Dentigerous cysts, 315 Depression of nasal cartilage, 291 etiology, 291 symptoms, 291 treatment, 291 Dermoid cysts, 259 Diabetes mellitus as cause of atrophic pharyngitis, 464 acute rhinitis in, 81 Diabetic nasal ulcers, 166 Diapedesis, 59 Digestive disturbances in nasopharyn- gitis, simple chronic, 353 in pharyngitis, simple chronic, 154 I >iphtheria, acute rhinitis in, 81 an exciting cause of atrophic rhinitis, 117 cause of acute nasopharyngitis, 345 causing chondritis of larynx, 552 empyema of frontal sinus, 332 definition, I- I diagnosis, 129 differential, 548 a difficult matter, 129 (•arc i airing, 130 method of establishing, 430 method of examining throat, I '■'•< points necessa ry in accurate, 131 value of Kl. I- - 1 .. .til.-.- bacilli in making, 129 epista iris in. 192 etiologj of, 12 i 642 INDEX. Diphtheria, etiology of, factors increas- ing virulence of germ, 425 local causes predisposing to infec- tion, 424 of respiratory tract, 424 specific cause, 425 history of discovery of Bacillus diphtheria?, 125 morphology of Bacillus diphthe- rias, 425 staining properties of Bacillus diphtheria', 125 two conditions necessary for, 424 hemorrhagic inflammation in, 64 history of, 4 2 1 inflammation, 63. (See Inflammation, diphtheritic.) of maxillary sinus, 311 nasal, definition, 93 differential diagnosis between rhi- nitis, croupous and, 90 synonym, 93 nasal ulcers in, 168 paralysis of pharynx in, 505 pathology, 426 of membrane due to Bacillus diph- theria1, 426 of membrane not due to Bacillus diphtheria?, 427 prognosis, 4:11 based on bacteriological examina- tion, 433 based on condition of heart, 432 based on condition of kidneys, 432 based on condition of lungs, 432 based on condition of pulse, 432 based on extension of membrane, 432 based on neuroses, 433 based on temperature, 432 date and mode of death, 434 symptoms, 427 albuminuria in, 428 eruption in, 427 gland-involvement in, 428 membrane in, 428, 429 nasal, acute, 429 discharge in, 429 epistaxis in, 429 prognosis in, 429 chronic, 429 etiology of, 429 of onset, 427 period of incubation, 427 pidse of, 427 temperature in, 427 tongue of, 427 svnonvm, laryngitis, membranous, 545 ulceration of uvula in, 363 treatment, 434 Diphtheria, treatment, antitoxic serum, 435 begin early with, 438 dose, 437 immunity, 435 injection, 436 serum, 436 syringe, 436 complications, 438 aural, 438 laryngotracheal, 439 ocular, 439 paralysis, 439 dietetic," 434 disinfection of sick-room, 439 general directions, 434 hygiene, 439 local remedies, 434 cold externally, 434 Loftier' s solution, 434 prophylaxis, 439 stimulants, 438 Diphtheritis, svnonvm of diphtheria, 424 Diplococcus coryzse, 71 presence doubtful in acute rhinitis, 71 Diplopia in suppurative ethmoiditis, 319 Discrete tonsil, M71 Disinfection in diphtheria, 439 Diverticula or dilatation of pharynx, 414 Dome of pharynx, 25 Donelan, James, injections of creosote in tuberculosis of the larynx, 592 Douche, Bermingham, 45 Drugs causing acute rhinitis, 72 causing epistaxis, 193 Dry catarrh, 62 pharyngitis, 463 Duchenne, glossolabiolaryngeal paraly- sis described by, 504 Duct, lacrimal. 643 Dyspnea in papilloma of larynx, 210 in retropharyngeal abscess, 490 in tuberculosis of larynx, 587 Earache and deafness due to pharyn- geal tonsil, 376 Ear affections, neuroses, reflex nasal, 187 complicated, in pharyngitis, simple acute, 417 complications in abscess, tonsillar or peritonsillar, 393 implication of, in diphtheria, 438 involvement, in empyema of sphe- noidal sinus, 326 involvement in tonsillitis, cryptic, 386 reflexes in, due to nasopharynx, 357 symptoms in rhinitis, hyperesthetic, 181 treatment of, complicating acute naso- pharyngitis, 347 Ecchondroma. Ethmoiditis, suppurating, 317 Eustachian orifice involved in enlarge- ment of faucial tonsils, 398 involved in hi])iis of pharynx, 479 involved in simple chronic naso- pharyngitis, 353 tube, care of, in using nasal douche, 44 closure of, in hyperplastic naso- pharyngitis, 356 closure of, in syphilis, primary, of pharynx, 481 effect of position, 399 implicated in simple chronic rhi- nitis, 99 involvement of, in atrophic naso- pharyngitis, 354 involvement of, in atrophic pharyn- gitis, 465 involvement of, in atrophic rhini- tis, 122, 125 involvement of, in sarcoma of the nasopharynx, 252 orifice of, involved in acute rhinitis, 73 position of, Fig. 5 position of, Fig. 1 and p. 26 treatment, when involved in acute rhinitis, 78 view of normal orifice, 42 Eversion of ventricles of larynx, 598 Examination, 33 arrangement of light and positions, 33, 34 cocain, last resort in making, 39 of floor of nose, position in, 36 of inferior turbinate, 36 method of using tongue-depressor in, 38 of middle turbinate, 36 of postnasal cavity in children, 42 rules for, in nasal, 37 rules for posterior rhinoscopy, 36 Exophthalmos, due to tumors, sphenoid cells, 328 Exostosis, 219 treatment of, 220 Exudative pharyngitis, 450 Eye, affections of, as neurosis, reflex nasal, 187 implication of, in diphtheria, 439 lacrimal duct, diseases of, 341 symptoms due to myxoma, 233 due to empyema of sphenoidal sinus. lever, 17-".. (See Hyperesthelic rhinitis.) as predisposing cause of acute rhinitis, 7 1 1 [eadache in acute abscess i <( sepl tun, 2'. k ) in acute catarrhal inflammation of in una I sinus, 329 in acute I'liinit is, 73, 75 in confined su] ipurat ion < if frontai si* mi-. 33 ■ congestive, lv7 I'.'l dependent on nana I lesion, 52 nil -illll- le-ii HI, 52 646 INDEX. Headache in emphysema of antrum, 312 in fibroma of nasopharynx, 224 frontal, due to pharyngeal tonsil, 377 frontal, in atrophic rhinitis, 125 in infective pharyngitis, 421 in intumescent rhinitis, 103 may follow epistaxis, 195 in rhinitis, croupous, 89 in rhinitis, simple chronic, 98 Hearing, impaired, in acute nasopharyn- gitis, 346 impaired, in hyperplastic rhinitis, 107 impaired, in nasopharyngitis, simple chronic, 352 Heart, affections of, as neuroses, reflex nasal, 189 overacting, as cause of epistaxis, 192 in prognosis of diphtheria, 432 Hematoma, 551 of septum, 292 Hemophilia, epistaxis in, 192 Hemorrhage after adenoid operation, method of controlling, 380 after tonsillotomy, treatment of, 402 in angioma, 215 in carcinoma of larynx, 248 diagnosis, differential, 551 due to foreign body in larynx, 595 from varices of lingual tonsil, 411 laryngeal, 593 in papilloma of larynx, 210 in sarcoma of larynx, 257 sources of danger from, 403 Hemorrhagic inflammation, 64 in small-pox of pharynx, 446 in syphilis of larynx, 578 laryngitis, 550 pharyngitis, 444 ulceration of pharynx, 444 Hemorrhoids, epistaxis replacing flow from, 193 Heredity effects in adenoids, 372 Herpes of fauces, 368 labial, 74 nasal ulcers in, 164 of pharynx, 492 treatment, 493 Herpetic tonsillitis, 390 Hiatus semilunaris, 21 position of, Fig. 5 Histologv of mucous membrane, Fig. 7, "23 Hodgkin's disease, stenosis of pharynx in, 414 Hospital sore throat, 420 Hydroma. (See Cystoma, 259.) Hydrops antri, 297 Hydrorrhea, nasal, 128 complications, 129 etiology, 128 Hydrorrhea, nasal, pathology, chemical analysis of fluid in, 129 mucous membrane in, 128 symptoms, 129 character and duration of dis- charge, 129 constitutional symptoms in, 129 cough in, 129 pain in, 129 sneezing in, 129 spasm of glottis in, 129 treatment, 129 Hygroma. (See Cystoma, 259.) Hyperemic larynx, 573 Hyperesthesia of pharynx, 503 Hyperesthetic rhinitis, 95, 173 Hyperidrosis, facial, 201 Hyperkeratosis, 495. 647 Inflammation, clinical phenomena of, 59 definition of, 59 diphtheritic, changes in, 63 membrane in, 63 ulceration in, 63 gangrenous, causes of, 64 hemorrhagic, 64 membranous, 63 croupous or pseudomembranous, 63 diphtheritic, 63 fibrinoplastic, 63 of the faucial tonsil, 394 microscopical phenomena of, 59 of floor of nose, affecting the teeth, 52 of mucous membrane, 59 specific processes, actinomycosis, path- ology of, 66 glanders, pathology of, 66 leprosy, pathology of, 66 rhinoscleroma, pathology of, 66 syphilis, pathology of, 65 tuberculosis, pathology of, 65 stages of, 59 suppurative or pustular, 64 varieties of, 60 of, in faucial tonsil, 381 Inflammations, specific, 131 Influenza, epidemic, 85 after-effects, 86 acute laryngitis in, 526 diagnosis, 86 etiology, 85 in pharynx, 449 pathology, 85 treatment, 87 epistaxis in, 192 Infraorbital foramen, position of, Fig. 6 sinus. (See Sinuses, accessory, infraor- bital, 22.) Infundibulum, outlet of frontal sinus, 22 position of, Fig. 5 Ingals' laryngeal speculum, 566 operation for septal deflection, 277 Inhaler, 48 Instruments, alligator-jaw forceps, 110 applicator, 45 atomizers, 43 Bruns' epiglottis pincet, 537 Bryan's ethmoid curet, 321 cotton-holder, ■'!•> Coulter's inhaler, 48 curet, Gottsti'in's adenoid, 380 author's adenoid, 380 douches, 45 Kdsnn's antitoxin syringe, 436 Ermold's tonsillotome, lol Famham's forceps, 209 Fauvel'a laryngeal forceps, 211 Freeman's inhaler, 18 insufflator, 16 Knight's electric tonsil snare, 10.'! Instruments, Leur's throat forceps, 212 Mackenzie's laryngeal polypus for- ceps, 239 lateral forceps, 239 throat forceps, 576 Mayer's pharyngeal curet, 476 method of cleansing, 49 Milbury's conchotome, 101 modified Asch's knife, 101 Myles's ethmoid curet, 321 nasal saw, author's, 110 nebulizer, 46 O'Dwyer's intubation, 615 polyp scissors, 234 postnasal syringe, 45 Potter's saw scissors, 223 Roux's antitoxin syringe, 436 Sajous's nasal snare, 233 Scheppegrell's self-adjusting electro- cautery snare, 211 septum knife, author's, 101 forceps, author's, 269 tubes, author's, 268 specula, 35 sterilizer, 49 Thorner's intubation, 626 tongue-depressors, 40 Trousseau's tracheal dilator, 628 universal lamp, 307 Intestinal irritation as cause of acute rhinitis, 71 influence on mucous membrane, 50 Intubation for edema of larynx, 544 in membranous laryngitis, 550 for stenosis of larynx, 515 of larynx. (See also Larynx, intuba- tion, 614.) Iodism, treatment of, 140 isthmus of nasopharynx, 26 Jackson, Hugiieinc, on bearing of loss of reflex in diphtheria, 433 Jameson on opening into maxillary sinus, 309 Keen, article on operations of larynx, 631 case of carcinoma of larynx. Kirk pa trick's tonsil knife, 404 Kit-stein's method of autoscopy, 513 Klebs-Loffler's bacillus, 69, 126 in herpetic tonsillitis, 390 Knight's electric tonsil snare, 403 Koch's lamp for transillumination, 307 Kyle's curved scissors, 402 long nasal tube, 271 Lacrimal duct, anatomic relation, 342 extension of disease through, 341 lesions of, due to nasal obstruction, 342 infection from eye to nose, 343 infection from nose to eye, 343 membranous inflammations of, 343 nasal douche as cause of, 343 occluded by myxoma, 233 in hyperplastic rhinitis, 107 position of, 22, Fig. 5 Lacrimation in acute rhinitis, 73 in young, 79 in chronic edematous rhinitis, 131 Lacunar tonsillitis, 3S4 La grippe, 85 cause of suppurating ethmoiditis, 317 a frequent cause of catarrhal in- flammation of frontal sinus, 329 of pharynx, 449 treatment of, complicating acute nasopharyngitis, 348 Laryngeal nystagmus, 604 occlusion, spasmodic, 605 phthisis, 585 rheumatism, 539 tissue, hypertrophy of, 572 tonsil, 370 vertigo, 605 Laryngectomy, complete, 633 partial, 636 Laryngismus stridulus, 529. (See Neuro- ses of nasopharynx.} etiology, 529 laryngitis, spasmodic, 533 most common in children, 529 spasm of larynx in adults, 532 in children, 530 treatment, 530 Laryngitis, acute catarrhal, 519 diagnosis, 521 pathology, 520 prognosis, 521 symptoms, 520 synonyms, 519 treatment, 521 of congestion, 522 of cough, 522 of edema, 523 external applications, 522 of exudative stage, 523 Laryngitis, acute catarrhal, treatment of huskiness after acute at- tack, 523 of irritation, 522 of mechanical irritation, 523 rest of voice, 524 acute, in children, 527 etiology, 527 forcible examination not to be made, 528 prognosis, 528 subglottic, 527 supraglottis 527 treatment, 528 in acute constitutional diseases, 524 in erysipelas, 52 1 in influenza, epidemic (la grippe), 526 in measles, 524 in miasmatic epiglottitis, 526 in rheumatism, 527 in scarlet fever, 525 in small-pox, 525 in typhoid fever, 526 in typhus fever, 526 atrophic, 569 catarrhal, 533 complication of acute rhinitis, 74 croupous, 545 cyanotic, 571 diagnosis, 572 etiology, 571 prognosis, 572 symptoms, 572 as of phlebectasis laryngea, 572 treatment, 572 dry, 569 diagnosis, 570 etiology, 569 pathology, 569, 570 laryngotrachelo, 569 true atrophy rare in larynx, 570 prognosis, 570 symptoms, 570 treatment, 570 local application of stimulants, 571 of constitutional diathesis, 570 of irritation, 571 of nasal and nasopharyngeal troubles, 571 petroleum externally, 571 edematous, 540 diagnosis, 543 etiology, 540 primary, 541 secondary, 541 cyanotic conditions, 541 due to fibroid visceral changes, 541 due to inflammatory conditions, 540 INDEX. 649 Laryngitis, edematous, etiology, secon- dary, due to trauma, 540 pathology, 541 prognosis, 543 symptoms, 542 treatment, 543 intubation, 544 of edema due to perichondritis, 544 puncture, 543 relief of edema, 543 of underlying cause, 543 tracheotomy, 544 fibrinous, 544 follicular, 567 treatment, 568 glandular, 567 hemorrhagic, 550 diagnosis, 551 etiology, 550 pathology, 550 infarction, 550 hyperplastic, 572 pathology, 572 treatment, 572 hypertrophic, 572 membranous, 544 diagnosis, 547 between capillary bronchitis and, 548 between diphtheria and, 548 between edema of larynx and, 547 between foreign body and, 548 between retropharyngeal abscess and, 548 between whooping cough and, 548 etiology, 545 pathology, 546 of false membrane, 546 prognosis, 549 symptoms, 547 constitutional, 547 cough, brazen in, 547 difficulty in examination, 547 duration, 547 dyspnea in, 5 17 membrane formation, 547 stridulous breathing, 547 voice altered in, 547 treatment, 5 19, 550 phlegmonous, 538, 540 pseudomembranous, 544 purulent, 538 purulent suppurative, 540 rheumatic, 539 etiology, 539 symptoms, 539 creaky sensation, 540 treatment, 540 Laryngitis sicca, 569 simple chronic, 561 diagnosis, 564 between edema and, 564 between malignant disease and, 565 between paralysis and, 565 between syphilitic laryngitis and, 565 between tubercular laryngitis and, 565 etiology, 355, 562 pathology, 562 contraction of organized tissue, 563 increase due to engorged ves- sels, 563 permanent increase of tissue, 563 prognosis, 566 symptoms, 563, 564 treatment, 566, 567 spasmodic, 533 diagnosis, 535 etiology, 534 inflammation always present, 533 pathology, 534 prognosis, 535 symptoms, 534 supra- or subglottic inflammation, 533 treatment, 535 allaying irritation, 535 between attacks, 536 of spasm, 535 specific, 577 suppurative, 538 treatment, 539 symptomatic, 571 stridulous, 533 syphilitic, diagnosis between simple chronic laryngitis and, 565 traumatic, 537 treatment, 538 tubercular, diagnosis between simple chronic laryngitis and, 565 ulcerative, 579 Laryngopharynx, 18 Laryngorrhea, 519 Laryngoscope, description of, 32 Laryngotomy, 627 Laryngotracheal diphtheria, 439 Laryngotracheitis, 5 15 La lyn s, adei ta of, -14 anemia of, 572 treatment, 572 angioma of, 217 appearance in mirror, Pigs. 150, 151 artificial, 636 carcinoma of, 2 15 catarrh, simple chronic, 661 650 INDEX. Larynx, chondritis, 552. (See also Chon- dritis.) chondroma of, 219 diseases of, 508 classification of, 508 edema, chronic, of, 544 treatment of, 544 diagnosis between membranous lar- yngitis and, 547 eversion of ventricles of, 598 examination of, methods of, 509, 513 author's plan, 509 autoscopy in, 513 parts seen, 512, 513 patient's eyes closed during, 510 position of mirror, 512 size of mirror, 512 fibroma of, 225 foreign bodies in, 595 symptoms, 595, 596 treatment, 597 hematoma of, and laryngitis, hemor- rhagic, 551 hemorrhage of, 593 treatment, 594 hyperemia of, 573 hysterical aphonia of, 603 intubation of, 614 accidents, 621 complication, 621 dangers, 621 indications, 614 instruments for, 615 method of, 620 position of patient and operator, 619 postoperative care, 621 sequels, 622 involved in simple acute pharvngitis, 417 laryngismus stridulus, 529 lipoma of, 227 malformations and deformities of, 515 congenital, 515 dilatation or pouches, 516 hypertrophies, 516 treatment, 516 stenosis, acquired, 516 cicatricial, 516 in leprosy, 518 in lupus, 518 syphilitic, 517 tubercular, 517 mucocele of, 237 neuroses of, 599. (See also Neuroses of larynx.) reflex nasal, of, 185 operations on, 631 after-treatment, 632 dangers, 631 laryngectomy, complete, 633 Larynx, operations on, laryngectomy, after-treatment, 636 artificial larynx, 636 glands removed in, 636 history of, 633 improvements in, 635 incision in, 634, 636 method of, 635 partial, 636 posture, 634 preliminary tracheotomy, 634 preliminary treatment, 634 stages of, 634 technic of, 634 preparatory treatment, 631 thyrotomy, 632 after-treatment, 633 closure of wound, 633 division of cartilages, 633 incision, 633 object, 632 posture, 633 preparatory treatment, 633 removal of growth, 633 papilloma of, 209 paralysis of, 607. (See also Neuroses of larynx.) pemphigus of, 573 perichondritis, 552. (See Chondritis.) prolapse of ventricles, 598 sarcoma of, 256 singers' nodules, 574 diagnosis, 576 etiology, 574 pathology, 575 prognosis, 576 symptoms, 575, 576 treatment, 576, 577 spasm of, in children, 530 treatment, 531 in adults, 532 treatment, 533 spastic paraplegia of, 605 suppuration of, 538 syphilis of, 577 tracheotomy, 623. (See Tracheotomy.) contra-indications, 623 high, 625 indications, 623 instruments, 624 laryngotomv, 625 low, 626 operative complications and dan- gers, 627 operative procedures, 623 postoperative care, dangers, and complications, 628 trachoma of, 574 tuberculosis of, 585 view of front of cartilages and mus- cles, 509 INDEX. 651 Larynx, x-ray treatment of malignant disease, 250 Leidy, congenital adhesion of soft palate, 364 Leprosy, epistaxis in, 192 nasal, 156 diagnosis, 158 etiology, 156 prognosis, 158 symptoms, 158 treatment, 158 nasal ulcers in, 167 specific inflammatory process, 66 stenosis of larynx in, 518 Leptothrix, cause of pharyngomycosis, 494 buccalis, cause of mycosis of faucial tonsil, 406 Leukoplakia buccalis, 242 saliva as cause, 55 Lingual tonsil, 370 Lipoma of larynx, 227 of nares, 227 of nasopharynx, 227 of pharynx, 227 Lithemia, pharyngitis, acute rheumatic, in, 469 Loffler discovered bacillus mallei, 153 solution in croupous pharyngitis, 423 in croupous rhinitis, 90 Lowenberg's bacteria in atrophic rhin- itis, 117 Ludwig's angina, 449 Lumpy jaw, 488 Lupus exedens, 152 of larynx, differential diagnosis, 589 nasal, 150 complications, 152 diagnosis, 152 pathology, 150, 151 symptoms, 151, 152 treatment, 152, 153 non-exedens, 152 of pharynx, diagnosis, 479 treatment, 480 stenosis of the larynx in, 518 Luschka's bursa, 371 tonsil, 371. (See Tmisil*, plinri/iH/rril.) Lustgarten, bacilli of, 1 ■'!■_', 135 Lymphosarcoma, 253. (See Sarcoma.) Mm < ,,y. Alexander, ease of angioma of pharynx, 217 flexible acid-applicator, 590 Mackenzie, .!. X., eoiifdi area of, 185 neim «es described by, I s" on psychical element in hypere- tlietie rhinitis, 17 1 Mackenzie, Morell, carbolic-acid throat- lozenges, I-- condenser, 30 Mackenzie, Morell, electrode, 608 method of douching in children, 145 method of treating hereditary syph- ilis, 145 on carbolic acid in glanders', 156 on phlebectasis laryngea, 572 papillomatous web of larynx, 515 throat forceps, 576 Makuen's tonsil instruments, 404 Malformations and deformities of lar- ynx, 515 and deformities of pharynx, 413 nasal, as cause of epistaxis, 192 as cause of atrophic rhinitis, 116 of nasal spaces, congenital, 111 ozena in, 111 of septum, 263 of soft palate, 358 of uvula, 358 Maliasmus, 153 Malleus, 153 tubes, 140, 277 Maxillary sinus, diseases of, 293. Mikulicz, intranasal opening into max- illary sinus by, 309 Milbury's conchotome, 101 Miller's asthma, 529 Mirrors, 31 arrangement for examination, 34 laryngoscope, description of, 32 method of holding, in posterior rhin- oscopy, .".7 reflecting, 31, 32 rhinoscope, description of, 32 rules for performing posterior rhinos- copy with, 36 size used in posterior rhinoscopy, 38 Mogiphonia, 600 Mouth, arch of roof of, illustration, Fig. 1 neuroses, reflex nasal of, 185 Mouth-breathing in acute rhinitis in young, 78 as cause of collapse of nasal alae, 281 caused by occupation, 52 due to myxoma, 233 due to pharyngeal tonsil, 375 night, 375 in enlarged faucial tonsils, 398 in fibroma of nasopharynx, 224 palatal arch altered in children by, 51 in croupous rhinitis, 89 in hyperplastic rhinitis, 106 in simple chronic rhinitis, 98 Mucocele, 258. 653 Mucous membrane of nasal cavities, three layers of, 23 varying color of, 22 varying thickness of, 22 of nasopharynx, color of, 26 glands of, 26 histology of, 26 pathological changes of, 50 pathology of, in acute rhinitis, 72 rhinitis, atrophic, atrophy second- ary to lesion elsewhere, 124 in occupation rhinitis, 94 protective and propulsive, 58 in rhinitis, atrophic, due to pre-ex- isting local lesion, appearance of, 119, 121 character of, 98 edematous, acute, 96 hyperesthetic, 181 hyperplastic, pathology of, 105 pitting on probe-palpation in, 108 intumescent, 103 simple chronic, 99 submucosa, character of, 58 in syphilis, nasal, acquired, second stage, 133 varies according to function, 58 patch in syphilis, nasal, acquired, he- reditary, 143. second stage, 133 polypi, 237 Mycosis of faucial tonsil, 406 of lingual tonsil, 410 of uvula, 363 Myles' antrum curet, 299 ethmoid curet, 321 Myxofibroma, 235 more often than pure myxoma, 232 pathology, 236 treatment, 236 Myxoma, 229 diagnosis, 233 polypoid hypertrophies, 233 of ethmoid cells, 322 etiology of, 230, 231 of frontal sinus, 340 of maxillary sinus, ■">! I pathology, 232 prognosis, 233 section of, 232 of sphenoid cells, '■'<-' symptoms, 232, 233 treatment, 23 1 Myxosarcoma, 235, 257 X \ki:-, papilloma of, 208 Nasal actinomycosis, I :>'.i alse, collapse of, 28 I bacteria, 67 breathing, importance of, 51 Nasal breathing, results of failure of, 51 calculi, 198 cartilages, depression of, 291 cavities, anterior, accessory sinuses, diseases of, 293 adenoma of, 212 anatomy of, 17, 18 angioma of, 214 carcinoma of, 239 chondroma of, 217 classification of diseases of, chron- ic, 97 depression of cartilages, 291 diphtheria of, acute, 429 chronic, 429 fibroma of, 221 floor of nose, inspection of, 36 superior portion of, inspection of, 36 foreign bodies in, 198 hematoma of septum, 292 histologv of mucous membrane of, 23" lipoma of, 227 mucocele, 237 myxoma, 229 normal, description of view of, 41 obstruction of, canses, intranasal, 261, 262 extranasal, 262 symptoms, signs and effects, 262 obstructive lesions of, predis- posing to laryngitis, acute ca- tarrhal, 519 osteoma, 228 rules for examination of, 38 sarcoma of, 250 obstruction of, in, 251 septum, diseases of, 260 edema, 288 perforation of, 28 I synechia, 279 use of postnasal lamp in examin- ing, in arteries of, 2 I bacteria of, 67 condition favoring, C>7 list found in, 69 pal hogenesis of, 67 rea I importance of, 69 relation to 1 1 i^c:i ~< ■, ti7 results of absorption of, 68 blood-changes in obstruction of, 52 blood-supply of, -_>i foreign body in. ozena in. Ill Function of, 27, 28, 29 headache due to lesions of, 52 i I lumina tion i >f, :;i I influence of floor of, on drainage, 52 malformation of, 1 1 1 654 INDEX. Nasal cavities, malformation of, ozena in, 111 predisposing cause of acute rhin- itis, 71 obstruction of, in atrophic rhinitis, 125 hyperplastic rhinitis, 106 olfactory region, conditions altering function of, 28 mucous membrane of, 24 nerves of, 25, Fig. 8 olfactorial cells of Schultze in, 24 position of, 19 theories explaining function of, 27 papilloma of, 208 physiology of, 27 posterior, examination of, in chil- dren, 42, 43 rules for examination of, 38, 39 view of, 35 use of postnasal lamp in examin- ing, 40 veins of, 25 vestibule, a part of, 19 vibrissa? in, 27 concretions, 198 deformities, paraffin injections for, 141 douche, cause of empyema of frontal sinus, 332 too free use as cause of inflamma- tion of lacrimal duct, 343 floor, concave, 116 results of, 116 hydrorrhea, 128 mucous, antiseptic qualities of, 68 neuroses, 170, 172 obstruction, due to collapse of nasal ala?, 281 as cause of atrophic pharyngitis, 464 occlusion, due to empyema of sphe- noidal sinus, 326 polypus, 229. (See also Myxoma.) resonance, alteration of, 399 tonsil, 370 tuberculosis, 146. (See also Tubercu- losis. ) twang, 28 Nasolacrimal duct, position of, Fig. 5 Nasopharyngitis, acute, 344 pathology, 345 treatment, 346 if complicating la grippe, 348 of ear complications, 347 of first stage, 347 for hypersecretion, 347 postnasal syringe in, 346 of relaxed circulation, 347 atrophic, 354 etiology, 354 symptoms, 354 Nasopharyngitis, atrophic, symptoms as of foreign body, 354 position in which secretions accumulate, 355 Eustachian involvement, 354 treatment, 355 hyperplastic, 356 treatment, 356 simple chronic, 348 complications, 353 diagnosis, 352 etiology, 348 exciting causes, 349 predisposing causes, 348 pathology, 351 prognosis, 353 symptoms, 351 treatment, 353 varieties, 350 Nasopharynx, adenoma of, 212 anatomy of, 25 blood-supply of, 26 boundaries of, 25 carcinoma of, 241 chondroma of, 218 closure of, by adhesions, 364 color of membrane of, 26 conditions causing nasal obstruction, 262 diseases of, 344 classification of, 344 fibroma of, 223 glands of, 26 infectious granulomata of, 474 inflammation of, 344, 354, 356 lipoma of, 227 mucocele of, 237 mucous membrane of, 26 nerves of, 27 neuroses of, 357 papilloma of, 208 sarcoma of, 252 shape of, modifying pharyngeal ton- sil, 376 specific inflammations of, 357 view of, in mirror, 35 Nebulizer, 46 hot-air apparatus with, 47 Necrobiosis, 63 Neoplasms, 206 adenocarcinoma, 257 adenoma, 212 of anterior nares, 212 of fauces, 212 of larynx, 214 of nasopharynx, 212 angioma, 214 of fauces, 216 of larynx, 217. of nasal passages, 214 of pharynx and uvula, 216 INDEX. 655 Neoplasms, angioma, of tonsil, 217 carcinoma of ethmoid cells, 323 of larynx, 245 of nasal passage, 239 of pharynx, 243 of soft palate and uvula, 242 of sphenoid cells, 328 of tonsil, 244 cause of epistaxis, 192 chondroma of larynx, 218 of nasal passages, 217 of nasopharynx, 218 classification of, 206 cysts, 258 cystoma, 259 dermoid, 259 of frontal sinus, 340 simple or retention (mucocele), 258 exostoses, 219 fibroma of ethmoid cells, 323 of frontal sinus, 340 of larynx, 225 of nasal passages, 221 of nasopharynx, 223 of tonsil, 224 lipoma of larynx, 227 of nares, 227 of nasopharynx, 227 of pharynx, 227 lymphosarcoma, 253. (See also *Sa?-- coma. ) of maxillary sinus, 315 mucocele, 237 myxocarcinoma, 257 myxoma, 229 of ethmoid cells, 322 of frontal sinus, 340 of sphenoid cells, 327 of neck, causing laryngitis, cyanotic, 571 osteoma of frontal sinus, 340 of nares, 228 of sphenoid cells, 327 papilloma, 208 of larynx, 209 of nares, 208 of nasal cavity, 208 of nasopharynx, 208 of pharynx, 209 polyp, fibrous nasal, 235. (See Myxo- lihrmiin. ) sarcoma, 250 of ethmoid cells, 323 of lances, pillars, and soft palate, 253 of larynx, 250 of pharynx, 253 source of origin, 207 of sphenoid cells, 328 of tonsil, 25 I teratoma, 257 Nerves of nasopharynx, 27 of nasal cavities, 25, Fig. 8 Neuralgia of larynx, 602 of pharynx, 504 supraorbital, 188 Neuroses, complications, hyperplastic rhinitis, 109 due to myxoma, 233 due to atrophic rhinitis, 122 of larynx, 599 anesthesia, 600, 601 chorea, 604 classification of, 599 cough, 599 dysphonia spastica, 605 hyperesthesia, 602 hysterical aphonia, 603 laryngeal vertigo, 605 mogiphonia, 600 neuralgia, 602 paralysis, 607 bilateral abductor, 610, 611 adductors (lateral crico-aryte- noids), 633 central adductors (arytenoids), 612, 613 internal tensors (thvro-aryte- noids), 612, 613 recurrent laryngeal nerves, 608, 610 superior laryngeal nerves, 607, 608 table of, 606 unilateral abductor, 611, 612 unilateral adductors (lateral crico- arytenoids), 613 paresthesia, 601, 602 Neuroses, nasal, 170 of olfaction, 170 anosmia, 171 hyperosmia, 171 parosmia, 170 treatment, 172 of nasopharynx, 357 aural reflexes. 357 laryngismus stridulus, 357 stammering. 357 of pharynx, 502 in prognosis of diphtheria, 433 reflex, due to enlargement of faucial tonsil, 399 Neuroses, reflex nasal, 1 72 hydrorrhea as, [28 non-respiratory, ear, L87 aprosexia, 188 chorea, 188 epilepsy, 188 eye, L87 headache, congestive, I B8 migraine, 188 neuralgia, supraorbital, 188 656 INDEX. Neuroses, reflex nasal, non-respiratory, of heart, 189 of sexual organs, 189 of stomach, 188 tic douloureux, 188 vertigo, 188 treatment, 189 respiratory, asthma, 186 cough, nasal, 185 hydrorrhea, 173 of larynx, 185 aphonia, 185 spasm, 185 of pharynx and mouth, 185 rhinitis, hyperesthetic, 173 diagnosis, 182 etiology, 173 exciting causes, 177 history of theories as to, 173 predisposing causes, 173 summation of causes, 179 pathology, 179 symptoms, 180 treatment, 182 in simple chronic rhinitis, 98 sneezing, 172 of soft palate, acute bulbar paraly- sis, 368 apoplectiform bulbar paralysis, 368 chronic bulbar paralysis, 368 herpes, 368 neuralgia, 367 paralysis, 367 spasmodic contraction, 367 Nose, appearance in nasal lupus, 151, 152 flattening of bridge in hereditary nasal syphilis, 143 leathery feeling of, in scrofulous rhi- nitis^ 83 redness of, in atrophic rhinitis, 125 in intumescent rhinitis, 103 in simple chronic rhinitis, 99 swollen in acute abscess of septum, 289 , Nose-bleed, 191 Nostril, slit-like, in catarrhal diathesis, 51 Obstruction of nasal cavities, blood changes in, 52 causes of, 261 cause of pharyngitis, simple chronic, 452 Obstructive rhinitis, synonym, rhinitis, hyperplastic, 104 Occlusion of nose in acute abscess of sep- tum, 289 of nostril in confined suppuration of maxillary sinus, 304 Occupation as cause of simple acute pharyngitis, 415 as cause of septal perforation, 285 as cause of epistaxis, 191 causing acute rhinitis, 72 causing mouth-breathing, 52 favoring follicular pharyngitis, 456 pharyngitis, 442 rhinitis, 93 Odor in atrophic rhinitis due to pre- existing local lesion, 119, 120 of breath in atrophic pharyngitis, 466 of breath in gangrenous pharyngitis, 442 of breath in tuberculosis of pharynx, 475 in carcinoma of larynx, 248 character of, in purulent rhinitis, 127 in chronic suppurative inflammation of frontal sinus, 334 due to foreign bodies in nose, 201 in emphysema of antrum of High- more, 312 extremely fetid in caseous rhinitis, 85 may or may not be in scrofulous rhi- nitis, 83 none in rhinitis, anemic, 82 rarely any, in occupation rhinitis, 94 in simple chronic rhinitis, 98 O 'Dwyer's instruments for intubation,615 intubation for laryngeal stenosis, 616 Ogston-Luc operation for empyema of frontal sinus, 337 Olfactory nerves, 25 Optic neuritis due to empyema of sphe- noid cells, 326 due to tumors of sphenoid cells, 328 Oropharynx. (See Pharynx, illustration of, Fig. 657 Pachydermia diffusa, 210 laryngis, 574 verrucosa, 210 Packard (F. P.) mentions amaurosis following turbinotomy, 188 Paget's disease of nipple compared with scrofulous rhinitis, 83 Pain, character of, in tonsillar and peri- tonsillar abscess, 392 in lupus, nasal, 151 in suppurating ethmoiditis, 319 due to foreign bodies in nose, 201, 204 in pharynx, 507 freedom from, in nasal tuberculosis, 148 in actinomycosis of pharynx, 489 in acute catarrhal inflammation of frontal sinus, 329 in acute nasopharyngitis, 345 in acute rheumatic pharyngitis, 471 in carcinoma of larynx, 248 nasal passages, 240 soft palate. 243 in chronic catarrhal inflammation of maxillary sinus, 298 in chronic edematous rhinitis, 131 ■ in chi-onic suppurative inflammation of frontal sinus, 334 in confined suppuration of frontal si- nus, 335 in confined suppuration of maxillary sinus, 304 in cryptic tonsillitis, 385 in edematous laryngitis, 542 in empyema of antrum, 300, 303 of frontal sinus, 332 of sphenoidal sinus, 324 in follicular pharyngitis, 460 in glanders of pharynx, 485 in gouty or rheumatic tonsillitis, 388 in infective pharyngitis, 421 in nasal hydrorrhea, 129 in osteoma of nares, 228 in retropharyngeal abscess, 490 in sarcoma of larynx, 257 of nasal cavities, 248 in simple acute pharyngitis, 417 in syphilis of larynx, 578 primary, of pharynx, isi tertiary, of pharynx, 483 in tuberculosis of larynx, 586 on swallowing in acute superficial tonsillitis, 382 Palate hooks c lemned, 40 Palmar eruption in syphilis of respir- atory trad, 136 Palmer's frontal sinus drill, 339 Panophthalmitis in suppurating eth- moiditis, 320 Papillary edematous polypi, 231 Papilloma, nans, 208 12 Papilloma, nasal cavity, 208 nasopharynx, 208 treatment, 209 larynx, 209 causes of malignant change, 210 diagnosis of, 211 symptoms of, 210 treatment of, 212 varieties of, 210 pharynx, 209 treatment, 209 section of papillomatous growth, 247 site of carcinomatous growth, 246 Paraffin injections for nasal deformities, 141 Paralysis, acute bulbar, of soft palate, 367 apoplectiform bulbar, of soft palate, 368 chronic bulbar, of soft palate, 368 diagnosis between simple chronic lar- yngitis and, 565 of pharynx, 504 progressive bulbar, 504 soft palate, 367 uvula, 367 of vocal cords, 607. (See also Neuroses larynx. ) Paresthesia, larynx, 601 in atrophic rhinitis due to pre-exist- ing local lesion, 122 of pharynx, 503 Parosmia, 170 Peach cold, 173 " Peenash," 203 Pemphigus of larynx, 573 of pharynx, 492 Perforation of septum, 284 Perichondritis, cause of septal deviation, 265 differential diagnosis, 219 of larynx, 552. Peripharyngeal phlegmon, 421 Peritonsillar phlegmon, 391 Pertussis, 81. (See also Whooping- cough. ) Petroleum externally in dry laryngitis, 571 in membranous la ryngitis, R 19 in atrophic nasopharyngitis, 356 in atrophic pharyngitis, 168 Pharyngeal bursa, 26 catan h of, 3 IS nystagmus, 50 1 tonsil, :;:i Pharyngitis, acute rheumatic, 169 pathology, 17" symptoms, 170, 171 treatment, 471 658 INDEX. Pharyngitis, atrophic, 463 diagnosis, 466 etiology, 463 alteration of secretion, 463 atrophic rhinitis, 464 due to atrophic lesions, 463 due to venous stasis, 463 following inflammatory contrac- tion, 463 gastric disturbances, 464 in diabetes mellitus, 464 na.sal obstruction, 464 pathology, 464 bacteriology of, 465 cyanotic congestion, 465 scar-tissue pressure, 464 prognosis, 466 6ymptoms, 465 character of secretion, 465 cough, 465 Eustachian involvement, 465 itching of throat, 465 odor of breath in, 466 synonyms, 463 treatment, 466, 468 chronic rheumatic, 472 treatment, 473 complicating acute rhinitis, 74 hyperplastic rhinitis, 109 exudative, 450 follicular, 456 etiology, 456 predisposing causes, 456, 457 exciting causes, 457 treatment, 461, 462 gangrenous, 441 treatment, 442 granular, 456 hemorrhagic, 444 etiology, 444 follows eruptive fevers, 444 treatment, 444 herpetiea, 492 hypertrophica lateralis, 460 infective, 420 treatment, 422 Loffler's solution in, 423 membranous, 422 croupous, 422 occupation, 442 phlegmonous, 420 sicca, 463 simple acute, 415 treatment, 418 simple chronic, 450 etiology, 450 constitutional diathesis, 451 improper respiration, 452 pneumonokoniosis, 450 " rum cough," 450 slanting pharynx, 451 Pharyngitis, simple chronic, pathology, prognosis, 455 symptoms, 453 digestive disturbances, 454 "globus hystericus" suspected, 454 " throat tire," 454 treatment, 455 subacute, 456 suppurative, 420 traumatic, 442 treatment, 443 Pharyngocele, 414 Pharyngomycosis, 494 treatment, 495 Pharyngotyphoid, 449 Pharynx, abscess, retropharyngeal, 490 actinomycosis of, 487 anemia of, 501 treatment, 502 angioma of, 216 carcinoma of, 243 diphtheria of, 424 diseases of, classification of, 412 diverticula or dilatation, 414 congenital pouches, 414 due to "bolting" food, 414 pharyngocele, 4l4 treatment, 414 dome of, 25 ecthyma of, 492 erythema of, 492 in exanthemata and other febrile affec- tions, 445 chicken-pox, 449 erysipelas, 447 gout, 448 influenza, 449 type of, 449 ulceration, 449 intermittent fever, 448 measles, 446 scarlet fever, 445 small-pox, 446 typhoid fever, 448 pharyngotyphoid, 449 typhus fever, 448 varioloid, 449 foreign bodies in, 506 glanders of, 484 hemorrhagic ulceration of, 444 herpes of, 492 hyperplastic change in, 461 infectious granulomata of, 474 lipoma of, 227 Ludwig's angina, 449 lupus of, 477 malformations and deformities of, 413 neuroses of, 502 classification, 502 INDEX. 659 Pharynx, neuroses of, classification, anes- thesia, 502 treatment, 503 hyperesthesia, 503 paresthesia, 503 neuralgia, 504 treatment, 504 of motion, 504 spasm, 504 paralysis, 504 glossolabiolaryngeal, 504 treatment, 505 reflex nasal, 185 papilloma of, 209 pemphigus of, 492 pharyngomycosis, 494 pulsating arteries of, 501 sarcoma of, 253 slanting, 451 syphilis of, 480 tuberculosis of, 474 urticaria of, 492 Phillips' electric head-lamp, 32 Phlebectasis laryngea, 572 Phlegm producing membrane, 22 Phlegmonous inflammation, acute, of lingual tonsil, 409 laryngitis, 538 pharyngitis, 420 rhinitis, 96, 162 tonsillitis, 391 Photophobia in acute rhinitis, 73, 79 due to empyema of sphenoid cells, 326 Phthisis nasalis, 146 Physiology, maxillary sinus, 293 of nasal cavities, 27 Pierce's tonsil-clamp, 403 tonsil-punch, 401 Pineapple for rawness in sarcoma of pharynx, 254 juice in tuberculosis of pharynx, 476 Pituitary membrane, 22 Plethora as cause of epistaxis, 193 Pneumonia, epistaxis in, L92 Pneumonokoniosis affecting pharynx, 450 analogous to occupation rhinitis, 93 Poison, morphiii, etc., cause- of ano-mia, 171 Pollen catarrh, 1 73 Polyp, fibrous nasi I. 235. (See also Myxofibroma. ) scissoi-s, 231 Polypi causing chronic catarrhal inflam- mation of frontal sinus, 330 mucous, 237 Polypoid hypertrophies, not to he mis- taken lor pure myxoma, 2."> I growths as cause of epista sis, L92 Polypus, nasil, 229. (See also Myx- oma.) Porcher on location of lesion in pharyn- geal paralysis, 505 Posterior rhinoscopy, 36 Postnasal catarrh, chronic, 348 cavity, 133. (See also Nasopharynx.) lamp, 41 syringe, 45 Potter's saw scissors, 223 Preglottic tonsillitis, 408 Processes, specific inflammatory, 65 Prolapse of ventricles of larynx, 598 Pruritic rhinitis, 173 Pseudocroup, 533 Ptosis in empyema of sphenoid cells, 326 Pulse in diphtheria, 428 Purulent etbmoiditis, 317 inflammation, acute, frontal sinus, 332 inflammation, acute, maxillary sinus, 300 inflammation, chronic, maxillary si- nus, 30l nasal catarrh, 126 rhinitis, 126 Pustular or suppurative inflammation, 64 Putrid sore throat, 424, 441 Pyemia, hemorrhagic inflammation in, 64 Quelmalz, method of treating deflec- tion of septum, 268 Quinlan's syringe for paraffin injection, 141 Quinsy, 391 Rachitis, spasm of larynx in, 530 Rag- weed fever, 173 Ray fungus, 66, 487 Reflex nasal neuroses, 174 Reflexes, nervous, 122 Reigenier, cri de canard, 490 Respiratory tract, subdivisions of, 17 Retronasal catarrh, chronic, 348 Retropharyngeal abscess, 490, 548 treatment, 491 Rheumatic angina, 469 sore throat. 169 tonsillitis, 387 Rheumatism, acute articular, 81 rhinitis in, 81 causing chondritis of larynx, 552 diagnosis of chondritis of larynx due to, 559 laryngitis, acute, in. Rhinitis, acute simple, 70 complications of, 74 pathology of, 72 symptoms of, 73 treatment of, 74-78 acute, in constitutional diseases, 81 in diabetes mellitus, 81 in diphtheria, 81 in erysipelas, 82 in measles, 81 in rheumatism, acute articular, 81 in scarlet fever, 81 in scurvy, 82 in small-pox, 81 in typhoid fever, 81 in whooping cough, 81 in young, 78 differential diagnosis between spe- cific rhinitis and, 78 treatment, 80 anemic, 82 eye implication in, 343 treatment of, 83 Rhinitis, atrophic, 113 atrophy due to trophic lesion, 126 atrophy secondary to lesion else- where, 124 pathology, 124 treatment, 125 classification, 113 primary, direct lesion of part, 113 ' secondary, due to pre-existing local lesion, 113 due to lesion elsewhere, 113 due to pre-existing lesion, 116 diagnosis, 122 etiology, 116, 117 pathology, 118 symptoms, 119 treatment, 122, 123 general remarks on, 113 fibrous formation and contraction, 115 micro-organisms in, 117 ozena in, 112, 115, 116 caseous, 84 facial deformity in, 85 first described bv Duplay and Fol- lin, 85 treatment of, 85 usually result of associated condi- tion, 84 croupous, 88 treatment, 90, 91 cyanotic, 130. (See also Rhinitis, edematous, chronic. \ diphtheritic, 93. (See also Diphtheria, nasal. ) edematous, acute, 95, 96 treatment, 96 Rhinitis, edematous, chronic, 130 treatment, 131 fetid, 113 chronic, 113 fibrinoplastic, etiology, 91 pathology, 91 treatment, 92 hyperesthetic, 173 as cause of epLstaxis, 192 diagnosis. 1 SJ etiology, 173-179 pathology, 179 prognosis, 182 symptoms, 180 treatment, 182 hyperplastic, 104 membranous inflammation, lacrimal duct in, 343 pathology of, 105 symptoms, 105, 106, 304 treatment, 109, 110 hypertrophic, 104 intumescent, 103 treatment, 103 obstructive, 104 occupation, 93 treatment, 94, 95 phlegmonous, 96. (See also Furuncu- losis, nasal, 162.) acute abscess of septum, 96 may be associated with empyema of antrum of Highmore, 96 may be associated with alveolar abscess, 96 symptoms of, 96 treatment of, 96 plethoric, 125 purulent, 126 abscess of septum in, 290 etiology, 126 in new-born, 126 pathology, 126 in chronic variety is strumous rhinitis, 127 pyogenic membrane in, 127 treatment, 127, 128 in new-born, 128 relation of adenoids to, 372 sclerotic, 113 scrofulous, 83 occurs in poorly nourished children, 83 treatment, 84 sicca, 113 simple chronic, 97 causes, predisposing and exciting, same as for acute, 97 intermediate between acute and atrophic, 97 pathology, 98 symptoms, 98 INDEX. 661 Rhinitis, simple chronic, treatment, 99 specific, differential diagnosis between acute rhinitis in young and, 79 strumous, 83 eye-complication in, 343 not to be confused with rhinitis, purulent, 126 syphilitic, 131 ulcerative, 95 Rhinoliths, 198 Rhinopharyngitis, acute, 344 chronic, 348 Rhinorrhagia, 191 Rhinorrhea, 70, 128 Rhinoscleroma, 66, 159 treatment, 161 Rhinoscope, 32 Rhinoscopy, 35, 36 Richard's tracheotomy tube, 624 Roe's forceps, 269 operation for depression of cartilages, nasal, 291 septum operation, 276 Rontgen-rays of use in laryngology, 41 Rose catarrh, 173 cold, 173 fever, 173 Roux's antitoxin syringe, 436 Sajous' modification of Steele's septum operation, 277 nasal snare, 233 Saliva in diagnosis, 53 etiologic influence, 56 study of, 55 Sarcinte found in normal nose, 69 Sarcoma confused with actinomycosis of pharynx, 489 of ethmoid cells, 323 of fauces and soft palate, 25."> of larynx, 256 cause of confusion as to, 256 symptoms of, 256 treatment, 257 of maxillary sinus, 315 of, may resemble glanders, 66 of nasal cavities, anterior, 250 treatment, 251 of nasopharynx, 252 of pharynx, 253 of sphenoid cells, 328 of tonsil, 25 1 lymphosa rcoma of, 25 1 treatment, 255 Scarlel fever, acute rhinitis in, 81 apt to cause empyema of antrum, 300 cause of acute nasopharyngitis, 345 an exciting cause of atrophic rlii- nitifl, 1 17 laryngitis, acute, in. 525 Scarlet fever, larvngitis, membranous, in, 545 nasal ulcers in, 169 of pharynx, 445 pharyngitis, follicular, following, 457 Scheppegrell, cupric electrolysis in treat- ment of tuberculosis of larynx, 592 Schneiderian membrane, 22 Scbroetter's improved laryngeal tube forceps, 226 lipoma of larynx reported by, 227 method of incising stenotic tissue in larynx, 517 Schwellkorper, 24 Sclerotic rhinitis, 113 Scorbutic rhinitis, 82 Scotoma due to empyema of sphenoid cells, 326 Scrofulous ozena, 83 rhinitis, 83 Scurvy, epistaxis in, 192 nasal ulcers in, 165 Secretion, accumulation of, in atrophic nasopharyngitis, 355 acute nasopharyngitis, 345 alteration of, in simple acute pharyn- gitis, 416 anemia of pharynx, 502 carcinoma larynx, 248 character in atrophic pharvngitis, 464, 465 character in simple chronic pharyn- gitis, 453 diagnosis and, 52 hydrorrhea, nasal, character and dura- tion of, 12'. I increased, in hyperplastic rhinitis, 107 in tuberculosis of pharynx. 475 in acute catarrhal laryngitis, 521 in laryngitis, dry. 570 follicular, 568 simple chronic, 564 in pharyngitis, Follicular, 460 infective, 121 simple acute. of tuberculosis, nasal, 148 Sense of smell, disorders of, 1 70 Septicemia, hemorrhagic inflammation in, 6 1 662 INDEX. Septum, abscess of, acute (phlegmonous rhinitis), 96 chronic, -'.'1 abnormalities associated in hyperplas- tic rhinitis, 106 anatomy of, 19, 260 anterior part, usual site of croupous rhinitis, 89 areas of, involved in hyperplasia in hyperplastic rhinitis, 104 blood-supply of, 24 cartilages of, 260 cartilages and bones of, Fig. 3 classification of affections of, 260 color of mucous membrane of, 23 conditions of, causing obstruction, 261 deflection and deviation, treatment, 268 pressure by tubes, 268 Gleason's flap method, 278 history and list of operations for, 277 Ingals' operation, 277 operation for deflection due to disease of central incisors, 277 for deflection with redun- dancy, 269 care in use of tubes, 277 for simple curvature, 269 forceps for crushing, 269 method of controlling line of fracture, 270 operation for triangle deflection, 270 postoperative treat- ment, 270 removal of large tur- binates 269 Watson's operation, 277 cause of anosmia, 171 due to lesion of central incisors, 277 deformities, 264 congenital deflection, 267, 268 deviation or deflection from disease, 265 traumatic deflection, 265 dislocation of columnar cartilage, 266 treatment of, 267 split septum, 266 treatment of, 266 description of normal view of, 41 deviation of, predisposing cause of acute rhinitis, 71 distention of cavernous sinus at lower part, 24 edema (submucous infiltration), 288 exostoses of, 219 Septum grooved by pressure in hyper- plastic rl unit is, 107 hematoma of, 292 hyperesthetic area on, in hyperesthetic rhinitis, 178 knife, author's, 101 malformations, 263 malformations of, as cause of epistaxis, 192 myxoma of, 232 nerves of, 25, Fig. 8. perforation of, 284 etiology of, 284 illustration of, 286 list of causes, 287 pathology, 287 treatment, 287 in nasal leprosy, 158 in nasal svphilis, acquired, tertiary, 138 hi occupation rhinitis, 94 ulceration of, 281 etiology, 282 in measles, 81 treatment, 283 Sexual disorders, cause of hvperosmia, 173 organs, affections of, as reflex nasal neurosis, 189 Sialosemeiology, 52 Sinexon's nasal dilator, 270 Singer's nodules, ">74 Sinus thrombosis in empyema sphe- noidal sinus, 326 Sinuses, accessory, blood-supply of, 24, 25 color of mucous membrane of, 23 ethmoid, actinomycosis, 322 anatomy of, 21, 316 catarrhal inflammation, 316 clas.-.ification of diseases of, 315 mucocele, 322 mucous membrane, character in, 22 position of, Fig. 5 position of outlets, 316 suppurating ethmoiditis, 317 diagnosis, 320 symptoms, 318 evacuation of pus, 320 eye symptoms, 319 mental involvement, 319 position whence discharge emerges, 319 retention of discharge, 319 treatment, 320 syphilis, 322 tuberculosis, 322 tumors, 322 frontal, anatomy of, 21, 328 catarrhal inflammation, acute, 328 treatment, 329 INDEX. 663 Sinuses, accessory frontal, catarrhal in- flammation, chronic, 330 chronic catarrhal inflammation of, treatment, 331 ichthyol pledgets, 331 diseases of, 328 empyema, 332 acute purulent inflammation, 332 symptoms, 332 chronic suppurative inflamma- tion, 333 diagnosis, 334 symptoms, 334 confined suppuration, 334 prognosis, 337 symptoms, 335 cause of rupture, 336 due to pressure, 335 treatment, 337 Bryan's operation, 337 foreign bodies, 339 treatment, 339 infectious conditions, 340 infundibulum, outlet of, 22 mucous membrane, character in, 22 mucocele, 338 position of, Figs. 1, 5 tumors, 340 functions of, 29 headache due to lesion of, 52 infraorbital, anatomy of, 22 position of, Fig. 6. involvement in carcinoma of the nasal passages, 240 of, by animate foreign bodies in nose, 204 _ likely to be involved in rhinitis, atrophic, due to pre-existing local lesion, 122 maxillary, actinomycosis of, 31 1 acute infectious diseases of, 297 anatomy of, 22, 293 catarrh of, in hydrorrhea, nasal, L28 catarrhal inflammation, acute, 295 treatment of, 296 catarrhal inflammation, chronic, 297 treatment, 298 symptoms, 297 diseases of, 293 disparity in size, 'J'.M emphysema, 297, 298 empyema of, 300 acute purulent inllamination, 300 symptoms, :'>nn chronic purulent inflammation, 301 diagnosis, 303 Sinuses, accessory maxillary, confined suppuration in, 303 etiology, 304 symptoms, 304 transillumination, 305 treatment, 308 foreign bodies, classification, 313 glanders of, 311 may be associated with phleg- monous rhinitis, 96 mucocele of, 313 opening into, 295 ozena, 299 associated with nasal, 299 due to gas from tooth root, 311 treatment, 299 phlegmonous inflammation, 315 physiology of, 293 position of, Fig. 6 septa in, Fig. 2, 342 syphilis of, 311 teeth in relation to, 294 topography of, 294 tuberculosis of, 311 tumors, 315 may be involved in atrophic rhini- tis, 125 in simple chronic rhinitis, 99 nerves of, 25 ozena in, 111 primary lesions of, affecting nose, 50 sphenoidal, acute infection, 328 anatomy of, 21 catarrhal inflammation, 324 diseases of, 323 empyema, 324 from Thornwaldt's disease, 326 treatment, 326 mucocele, 328 mucous membrane, character in, 22 position of, Figs. 1, 5 syphilis, 328 tuberculosis, 328 tumors, 327 treatment, when involved by exten- sion in acute rhinitis, 7^ use of postnasal lamp in diagnosis, 40 Skin, involvement in glanders, nasal, 467 lesion of, in syphilis, nasal hereditary, 1 13 Slanting pharynx, 151 Small-pox, acute rhinitis in, 81 causing chondritis of larj ax, 552 laryngitis, acute, in, 525 ma xillary Bin US, .".1 I nasal ulcer- in, 169 of pharynx, 1 16 pustular inflammation in, 6 I Smell ;i Itered by myxoma, 233 664 INDEX. Smell, lost, in tertiary nasal svphilis, 137 partial or complete loss in croupous rhinitis, 89 sense of, affected in rhinitis, simple chronic, 98 disorders of, 170 in suppurating ethmoiditis, 319 lost in rhinitis, atrophic, 125 Sneezing, due to foreign bodies in nose, 201 in acute rhinitis, 73 in acute rhinitis in young, 78 in animate foreign bodies in nose, 204 in nasal hydrorrhea, 129 paroxysmal, in occupation rhinitis, * 94 Snoring due to pharyngeal tonsil, 370 Snuffles, 70 Soft palate, adhesions, 364 carcinoma of, 242 congenital absence of, 378 diseases of, 378 leukoplakia buccalis of, 242 neuroses, 366 neuralgia, 367 paralysis, 367 acute bulbar, 367 apoplectiform bulbar, 368 chronic bulbar, 368 spasmodic contraction, 367 occlusion, 365 congenital, 365 operation for, 366 syphilitic, 365 perforation, 364 sarcoma of, 253 syphilis of, 480. (See Syphilis of pharynx. ) Solly, climatic treatment of tuberculosis of larynx, 591 Spasm of abductors of vocal cords, 529 of glottis, 129, 529 of larynx, 529, 530, 532, 533 of pharynx, 504 Spasmodic croup, 527, 529 laryngitis, 529, 533 Specific catarrh, 131 granulomata, 65, 131 inflammations, 131 inflammatory processes, 65 rhinitis, 131 Specula, 35 Sphenoidal sinuses, 21. (See Sinuses, ac- cessory, sphenoidal) Sporadic catarrh, 70 Spurious croup, 519 Stages of inflammation, 59 Stammering a neurosis of nasopharynx, 357 Staphylococci found in normal nose, 69 Steele modification of Bolton's septum operation, 277 Stenosis of larynx, 515 acquired, 516 congenital, 515 of pharynx, 413 Sterilizer, 49 Stoerk, cough spots of, 599 Stomach, affections of, as neuroses, reflex nasal, 188 Strabismus due to empyema of sphenoid cells, 326 Streptococci causing croupous pharyn- gitis, 423 membranous inflammation, tonsil, 395 factor in rhinitis, membranous, 88 Stridulous angina, 533 laryngitis, 533 Strumous diathesis in enlargement of faucial tonsils, 396 rhinitis, 83 Stucky's biting forceps, 225 Subacute pharyngitis, 456 Submucosa. (See Mucous membrane.) Submucous infiltration of septum, 288 Summer catarrh, 173 Suppurating ethmoiditis, 317 Suppurative inflammation, chronic, of frontal sinus, 333 laryngitis, 538 pharyngitis, 420 or pustular inflammation, 64 Suprarenal capsule for tuberculosis of pharynx, 477 Sutton, J. Bland, classification of tumors, 207 Synechia, acquired, 279 appearance, Fig. 