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Article
February 17, 1906

FIBROMA OF THE NASOPHARYNX.TRACHEOTOMY, EXTERNAL CAROTID LIGATION, EXTIRPATION, CURE.

Author Affiliations

PITTSBURG, PA.

JAMA. 1906;XLVI(7):510-511. doi:10.1001/jama.1906.62510340036004a

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Abstract

History.  —S. D., male, aged 14, gave a history of an increasing nasal stenosis of a few years' duration. Several pieces of a "polyp" had been removed by physicians at different times, followed in each instance by severe hemorrhage, but with no relief to the breathing, which grew worse until scarcely enough air to sustain life could be inspired, even with the mouth widely open. His parents feared he would choke to death at night, and he was awakened by a choking sensation every time he fell asleep. Death from inanition threatened because of increasing dysphagia. Bleeding had been frequent, and a week before admission a severe hemorrhage from the nose and throat almost exsanguinated the boy. Headache and earache were frequent and severe.

Examination.  —The boy was frail, emaciated, pale and anemic. Leucocytes were increased; hemoglobin was decreased. Nasal respiration was impossible; his mouth was never closed except to

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