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January 18, 1896


JAMA. 1896;XXVI(3):123. doi:10.1001/jama.1896.02430550025002l

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The necessity of a cleansing and an antiseptic wash for the nasal cavities is indicated in a variety of conditions. In cases of simple chronic catarrhal inflammation in which there is an excess of mucus which gathers and forms crusts in the cavities, often due to a slight nasal obstruction and accompanied with an unpleasant "catarrhal odor," the indications for treatment are often chiefly fulfilled by some antiseptic wash which will effectually dislodge the secretions and counteract the odor. In another class of cases instead of obstruction, we find an enlarged passage, atrophy of the membrane, and sometimes of the turbinated bones. Here even an exaggerated expiratory blast of air is inefficient in dislodging the secretion. This rapidly dries upon the surface of fine membrane, decomposes and causes pathologic changes in the tissues, and the patient gives as one of the most distressing features of the condition the bad odor

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