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June 1940


Arch Otolaryngol. 1940;31(6):976-978. doi:10.1001/archotol.1940.00660010991011

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Adhesions arising between the nasal septum and the turbinate bones are ordinarily the result of trauma, operative or otherwise. On rare occasions ulcerative lesions arising in the course of systemic diseases produce synechiae. It is my experience that of those adhesions occurring as a result of trauma, the postoperative are the most common. Owing to the turgescence of the lower turbinate bones and the increased width of the septum at its base, narrowing the nasal channel in that location, synechiae often occur between these two structures after operative procedure. One not infrequently, however, encounters adhesions higher, in the region of bony septal spurs, and between the septum and a bullous middle turbinate. The usual history in the latter cases is that a diagnosis of sinal disease had been made and the area subjected to instrumentation, operative or applicative.

Synechiae, per se, while constituting abnormal structures, are harmless as structural pathologic

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