File:The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14570610960).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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probes orcurettes in an effort to relieve the stenosis.This method has never been entirely The American Roentgen Ray Society. Atlantic City. X. J.. Jan. 382 Roentgen-Ray Demonstration of the Nasolacrimal Passageways satisfactory. This has been done on severalof our patients a great number of times,one patient estimating that probes hadbeen passed on him fifty times. 2. Those attempting the removal of thesac, or its destruction by caustic, in orderto get rid of an infected or abscessed(acrymal passage. This can never be apopular method, as it does not provide forthe drainage of the tears into the nose We have, in the past fourteen months,studied about sixty obstructed and normalpassageways. Our method of procedurehas been to undertake the usual routineof attempting to syringe solutions by wayof the puncta through the sac and ductinto the nose. Following this, the passage-ways are injected with oil and bismuthand roentgenograms are made in severalpositions which will be described later.
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Fig. i. Before operation. Shows an obstruction at thejunction of the sac and duct. The sac shows amodel ate degree of dilatation. Both canaliculi arewell Idled. as nature has intended. The excess tearsmust then drain over the lid margin.3. The third group attempts to drain thetears into the nose by a short-circuitingoperation into the middle meatus of thenose. This was first popularized by West,who described his operation in 1910,before the American OphthalmologicalSociety. He makes a large window in thelateral wall of the nose, opposite the posi-tion occupied by the middle and upperthird of the nasolacrymal duct. While thisis the operation of choice with manyoperators, the precision of the operationlias been greatly reduced by the lack ofknow ledge of the exact position of thestricture and the size and location of thesac. We know of no way in which thisknowledge may, be gained accurately,except by getting a visual image of thepassageway, or of the portion of it abovethis stricture, i

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