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Article
April 7, 1900

PATHOLOGIC CHANGES OCCURRING IN THE UNOBSTRUCTED NOSTRIL IN CASES OF DEVIATED SEPTUM.

Author Affiliations

Professor of Diseases of the Throat and Nose, Philadelphia Polyclinic; Physician to the Throat, Nose and Ear Department of the Howard Hospital, etc. PHILADELPHIA.

JAMA. 1900;XXXIV(14):850-851. doi:10.1001/jama.1900.24610140018001f
Abstract

When only one of the nasal chambers is obstructed by a notable deviation of the septum, the immediate effect produced is a relative increase in the amount of respired air passing through the unobstructed nostril. This increased respiration through the unobstructed nostril causes increased functional activity of the mucous membrane and deeper structures, in order that the inspired air may be properly warmed and moistened. Such increased functional activity necessarily causes hyperemia of the parts, particularly of the tissues constituting the middle and inferior turbinal bodies. The increased blood-supply, together with the enlargement and proliferation of the over-acting mucous glands and cells of the deeper tissues, soon leads to enlargement from hyperplasia of the tissues involved, which may be regarded as a true compensatory hypertrophy. This change is first and most markedly shown in the tissues opposite the greatest concavity of the deflection, which in the majority of cases is

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