The Cleveland medical journal (1910) (14750270226)

Identifier: clevelandmedical09clev (find matches)

Title: The Cleveland medical journal

Year: 1910 (1910s)

Authors:

Subjects: Medicine Medicine

Publisher: Cleveland : The Cleveland Medical Journal Company

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

Text Appearing Before Image:

cimen only two ethmoidal turbinates arepresent; the nasopharynx is free from adenoid tissue; the elliptical openingof the Eustachian tube is nearly parallel with the floor of the nose. Thereis no hypertrophied adenoid tissue and the nasopharyngeal wall is com-paratively smooth. shock and systemic depression. The care of a child after suchan operation is therefore of great importance and explicit instruc-tions should be given to the parents or nurse in order thatunpleasant complications may be avoided and that the child mayreceive the proper attention. Ingersoll—Tonsil and Adenoid Operation. 259 The author does his operative work in the afternoon and theinstructions for the preparation of the patient and the care of thepatient after the operation, were arranged with this time in view.A printed copy of the following directions is given to the parentsat the time that the appointment for the operation is made so thatthey may have definite instructions to which they can refer at anytime.

Text Appearing After Image:

Figure 3. Longitudinal section, showing the right nasal fossa, nasopharynx,pharynx and larynx of a child about six months old. The outline of themaxillary turbinate is about, the same as in an adult. Four ethmoidal tur-binates can be seen. The agger nasi shows distinctly as a rounded processextending forward from the anterior part of the ethmoidal turbinate. Asmall diverticulum extending into the sphenoid bone shows the beginningof the formation of the sphenoidal sinus. The long axis of the Eustachiantube is nearly parallel with the floor of the nose. The nasopharynx con-tains a rather large mass of adenoid tissue, which extends down belowthe opening of the larynx. The tongue is relatively thin posteriorly. Thelarynx is relatively high, (ag) Agger nasi; (a) adenoid tissue. Preparation for the Operation. In order that the operation may be painless, it will be neces-sary to administer an anesthetic (ether). These directionsmust be most carefully followed so that the anesthetic may besaf

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1910

Francis A. Countway Library of Medicine

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