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Article
January 1932

COLLEGE OF PHYSICIANS OF PHILADELPHIA, SECTION ON OTOLARYNGOLOGYOct. 21, 1931

Arch Otolaryngol. 1932;15(1):148-156. doi:10.1001/archotol.1932.03570030163010

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Abstract

CEREBROSPINALRHINORRHEA: REPORT OFTWOCASES. DR. J. C. DONNELLY (by invitation).

Two cases of cerebrospinal rhinorrhea were reported: in one, which was spontaneous, the patient survived; in the other, which was traumatic, the patient died. The first case, that of an asthmatic man, aged 57, presented advanced hyperplasia of both middle turbinates, and the middle meatuses and the left spheno-ethmoidal area were filled with polypi. The frontal and right maxillary sinuses were hazy on transillumination; the right antrum was opaque. As the pathologic condition of the sinus was thought to be an important factor in the bronchial asthma, bilateral ethmoidectomy was undertaken. When the right middle turbinate was removed, extensive polypoid degeneration was found in the posterior ethmoidal cells. Some superficial tissue was removed with a Blakesley alligator forceps. The second bite into the polypoid mass was followed by a thin, watery discharge, which became more profuse and

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