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Article
March 1940

MASSACHUSETTS EYE AND EAR INFIRMARY

Arch Otolaryngol. 1940;31(3):549-556. doi:10.1001/archotol.1940.00660010553016

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Abstract

Toti-Mosher Operation. Dr. G. H. Poirier.  An automobile salesman came to me with a history of hospitalization for eight weeks with a fractured skull and an infected scalp incurred in an airplane accident. On his discharge from the hospital he had slight lacrimation of the left eye. He consulted an ophthalmologist, who probed the lacrimal apparatus, causing him a good deal of pain. During the following year he consulted a dozen or more ophthalmologists. He had a "colored fluid" injected through the duct, most of which came into the nose and throat.On examination he had the typical membrane over the tear sac. Pressure caused pus to exude from the upper and the lower canaliculus. Roentgenograms made after injection of iodized poppyseed oil into the sac showed that the oil went through the canaliculus into the sac and then onto the floor of the antrum. That is, it went throught

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