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February 20, 1897


Author Affiliations

CHICAGO, ILL. Chairman of the Section on Laryngology and Otology of the American Medical Association; Professor of Laryngology and Rhinology in Northwestern University, Medical School; Laryngologist and Rhinologist to St. Luke's Hospital; Laryngologist to Wesley Hospital, etc.

JAMA. 1897;XXVIII(8):353-354. doi:10.1001/jama.1897.02440080019002d

The condition which, for the sake of simplicity in nomenclature is designated "Abscess of the Septum," only occasionally presents the typical characteristics of acute circumscribed suppuration. When caused by traumatism the first stage may be an effusion of blood beneath the muco-perichondrium of the cartilaginous septum which is termed "Hematoma of the Septum." In time the blood degenerates, perhaps becomes infected by pyogenic microorganisms and changes to a brownish yellow fluid which when evacuated appears neither like blood nor typical pus. In this state it has been called "Cold Abscess," and again when it does originate without traumatism and runs an acute course with pain, fever and obstructive swelling terminating in ideal suppuration, it has been spoken of as "Acute Perichondritis." Jurasz1 has described a form in which the contained fluid is at first serous, termed serous perichondritis. Some sort of abscess is the culminating stage of all these

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