A case of accessory sinus disease with the symptoms of an osseous tumor of the orbit / by Burton Chance.

  • Chance, Burton Kollock, 1868-1965.
Date:
1908
Catalogue details

Licence: In copyright

Credit: A case of accessory sinus disease with the symptoms of an osseous tumor of the orbit / by Burton Chance. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    of hydrogen dioxide. After six days the tubes were with- drawn ,and the sutures were removed, so that in eight days the boy was able to come to my office for treatment. The aperture in the ethmoid allowed free drainage to continue into the nose. For about four weeks the external cicatrix remained prominent, but it became reduced when the osseous apper- ture began to be filled in. Two months, later the sinus was draining satisfactorily, though a plug of mucus was held in the opening; and, when deep pressure was made over the orbital opening a bubbling sound was emitted as though there was an accumulation of mucus. The boy stated there was no noticeable discharge from his nose. He had great comfort. The eye had become straight again; he was relieved of the diplopia, and the vision had returned to normal. The optic nerve had lost its pallor, and in all respects the fundus appeared to be as - healthy as that of the other eye. On November i6, 1907, nothing but the cutaneous cicatrix and a rather broad nasal bridge gave external signs of the former state, while the visual and ocular conditions were normal, and the nasal cavities were healthy. The case is interesting on account of the question of diagnosis. Had the tumor been soft and painful, or had there been discharge from the nose, the eth- moidal origin of the trouble would have been sus- pected. But all these were absent, and the extreme hardness of the tumor, with lack of tenderness or pain or nasal trouble, caused one to regard it as a possible osseous tumor. The characteristics were explained by the fact that the bone was bulged for- ward, and the enlargement was really beneath it in- stead of above it. 235 .South Tiiirti-;enth Street. 3