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November 12, 1898


JAMA. 1898;XXXI(20):1140-1142. doi:10.1001/jama.1898.92450200008001c

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It would seem, upon consideration, that many operations brought forward by the gynecologists during the last few years for relief of so-called reflex pains and other nervous disorders, particularly neuralgia and migrainoid headaches, have not given the relief that was promised for them. The same is undoubtedly true to a considerable extent in regard to the rectal surgeon's efforts, and notwithstanding the fact that deviating septa and hypertrophied turbinates have freely given off their offending portions, there still remain many who suffer constantly without a hope of relief; and in directing your attention into a new channel with regard to etiology and treatment of these conditions, I would urge the fact that, with a high nervous organization and free distribution of nervesupply quite as complex as that of the other orifices referred to, the normal mouth has thirty-two teeth as additional predisposing factors, each with its own separate nerve-fibers from

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