File:The Cleveland medical journal (1910) (14750268776).jpg

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

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Figure 1. Longitudinal section showing the left nasal fossa, nasopharynx andlarynx of a six months fetus, (a) Adenoid tissue located relatively lowdown so that its inferior border is below the opening of the larynx. Therather long tube-like structure of the nasopharynx shows distinctly andthe opening of the Eustachian tube can be seen just above the free borderof the soft palate. The turbinal bones all show distinctly. Four ethmoidalturbinates can be seen. The consensus of opinion of laryngologists in regard to themethod of operation upon the faucial tonsils has changed verymuch during the past few years and now the complete enuclea- 258 The Cleveland Medical Journal tion of the tonsil with its capsule is considered by far the bestoperation. The thorough removal of all of the adenoid tissue in thenasopharynx and the fossae of Rosenmueller is done after theenucleation of the tonsils and the whole operation is more radi-cal than it was formerly and is necessarily attended by more
Text Appearing After Image:
Figure 2. Section showing the right nasal fossa and pharynx of a fetus abouteight months old. In this specimen 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

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