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Perforation of the septum, either specific or non-specific, seems to have been considered of so little importance that few if any of our authors have given it more than a passing notice, in fact, all that I have consulted have dismissed it with only a paragraph or two at most.
Before I located on the south shore of Lake Superior, nearly four years ago, I had been taught to believe that practically all perforations of the septum were of specific origin, and up to that time was satisfied with that theory, and for several months after locating in Ashland, Wis., I continued to treat my cases accordingly. While I was soon impressed by the large number of perforations I found, I also discovered a supposed satisfactory explanation for them. Several Indian reservations surrounding our city, the inhabitants of which I had no doubt from another and correct ancient teaching, were
STRAW JR. NON-SPECIFIC PERFORATION OF THE NASAL SEPTUM. JAMA. 1898;XXX(9):475–476. doi:10.1001/jama.1898.72440610023001i
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