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Article
October 17, 1908

ETHMOIDAL PERFORATION OF THE INNER CORNER OF THE EYE AND INVOLVEMENT OF THE ANTRUM OF HIGHMORE.

Author Affiliations

SAN FRANCISCO.

JAMA. 1908;LI(16):1325-1326. doi:10.1001/jama.1908.25410160035002
Abstract

Patient.  —C., male, aged 70, single, had always been healthy.

History.  —Two weeks before consulting me he noticed a swelling over the right eye, which increased in size daily (Fig. 1). The pain and temperature also increased from day to day. Temperature was present, 104. He had never noticed a discharge from his nose. He has good sense of smell and no odor in the nose.

Examination of the Nose.  —Right side, large roomy nose. Middle turbinate, perfectly healthy; middle meatus, roomy and free from pus. Olfactory fissure was free from pus. Probe puncture of the antrum of Highmore brought a large quantity of offensive and cheesy pus.

Treatment.  —In order to cleanse the pus cavity, the incision had to be carried as far back as the ear. From the center of this incision another one was made at right angles extending almost to the vertex. A fistula leading to

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