File:The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14570534759).jpg

Identifier: americanjournroen09ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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passages and of the acces-sory sinuses. The picture within the noseis often that of an atrophic rhinitis. The above statement that polypoid The A-Ray Diagnosis of Accessory Sinusitis disease is usually widely distributed isat variance with the usual texts. Forinstance, the best text at hand makes thefollowing statement: While pansinusitis of one side isuncommonly met with, that where allthe sinuses are simultaneously involvedbelongs to the greatest rarity. My experience is that true polypoiddisease is more commonly general thanlimited in distribution. I recall very few involvement and of the pathologicalchanges present may vary considerably.The two types of disease are not recog-nized as occurring together as one wouldexpect if the one were the sequel of theother as has been suggested, nor are weable to recognize anything that can beaccepted as a transition stage from theone to the other. Moreover, it seemsdifficult to believe that a process thatat one stage has laid down considerable
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Fig. i. First position. cases that were not symmetrical indistribution, and while under such circum-stances the demonstration of the complete-ness of the involvement is obviouslydifficult, my impression is that incompleteinvolvement is the exception. Not unusu-ally the maxillaries seem to be less exten-sively diseased, but this may representmeiely an earlier stage of the disease.Except for this, no clear stages of thedisease have come to my notice. Partialor limited involvements which might beinterpreted as chronological stages ofthe disease are rare and of questionablesignificance. Once the ethmoid labyrinthis involved, all of the cells seem to beinvolved at once, although the degree of Fig. 2. Second position. bony tissue should at a later stage resultin the disappearance of this excessivetissue together with some of the normalsupply and that without leaving anyresidua. We are therefore convinced thatthe two processes are essentially distinctfrom the beginning and represent a differ

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