Identifier: amerbook00star (find matches)
Title: An American text-book of the diseases of children ..
Year: 1895 (1890s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson Seiser, 1862-
Subjects: Children
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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together with the polypi is the••keynote to the proper and effective handling of the patient. Polyps are stated to be rare with children, but are probably only relativelyso, since the diseases which influence their development are somewhat lessusual in young children than in adults. We have observed them in childrenfrom the age of eight years upward. Recognition of the exact points of origin of the neoplasms is essential to aclear understanding of their etiology and treatment. In the outer wall of the middle meatus of the nose is the ethmoidal fissure.or hiatus semilunaris, the anteroinferior boundary of which is a sharp-edgedridge of hook-like curve, and hence termed the unciform process of the ethmoid 838 AMERICAN TEXT-BOOK OF DISEASES OF CHILDREN. bone (Fig. 3). The fissure itself communicates through its upper end with thefrontal sinus, and through its lower extremity, the ostium maxillare, with theAll of these parts lie high up beneath the middle antrum of Hio-hmore. Fig. 3.
Text Appearing After Image:
Representing the Outer Wall of the Left Nasal Fossa, with the middle turbinated body turned upward toshow beneath the hiatus semilunaris (printed in deep black), to the edges of which polyps are fre-quently attached. turbinated bone, which, in the natural state, hangs down over them like acurtain. To summarize Zucherhandls post-mortem observations of forty-two distinctgrowths, he found that two-thirds originated from the middle meatus, and that,approximately, tivo-tliirds of this number were attached to the edges of thehiatus semilunaris. With this knowledge, and judging from the superficialposition of the neoplasm and the direction of its pedicle toward its attachment,we can be reasonably certain of the deep point of origin even when suchis not visible, and can often destroy the very root of the growth by insin-uating a properly-curved cautery point-electrode to the spot. Etiology.—The most common complication, acting also in a causal relationto nasal polypus, is hypertrophic rhini

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