Nasal obstruction caused by collapse of the nasal alae

SELECTED

ABSTRACTS

639

diphtheria immunization. In calres there was practically no transmission, but in rabbits there was an almost identical antibody titer in newborn and maternal bloods. Human beings resemble the rabbit in the type of placentation, the chorionic epithelium coming into direct contact with the maternal blood. Colostric feeding raised the antibody titer in all instances, save the rabbit,, where a 10 per cent drop occurred as a result of the first colostric fee,ding. If a similar lack of antibody absorption occurs in the human being, sonm of the arguments in faror of breast feeding will have to be revisrd.

Rhinology UNDER

Diagnosis H.

L.,

THE

J~IRECTIOS

and Treatment and

Mouse&

L.

and Ophthalmology

OF FKKTCH

K.

HAXSEI,,

KI).,

ST. LOUIS

of Chronic Disease of the Paranasal

Sinuses.

H.:

466,

Ann.

Otol.,

Rhin.

& Laryng.

49:

Williams,

1940.

In a general discussion of the subject of the diagnosis and treatment of chronic disease of the paranasal sinuses presented by Williams and Xousel, they state that the fundamental requirement in the treatment. of chronic sinusitis is a differential diagnosis accurate enough to prevent the application of formidable surgical procedures to conditions in which they cannot logically be expected to produce any beneficial effect. They further state that it is lack of attention to this important detail that has had the effect of bringing surgical procedures, directed against chronic suppuration in the paranasal sinuses, into disrepute among the uninformed physicians and lay-men, not, however, without justification. A great deal of emphasis is placed upon the importance of the diagnosis of allergy and allergy with infection in relation to chronic disease of the paranasal sinuses. The value of cytologic and bacteriologic examination and their correlation with the symptomatology, and x-ray and physical findings are discussed in considerable detail. The indications and technique of various surgical procedures on all the paranasal sinuses are outlined. It is finally concluded that, as far as surgical interference is concerned, an operative technique which logically fits the individual case and which will be adequate to take care of the disease present should be selected.

Nasal

Obstruction

Kinsley,

S. M.:

Caused by Collapse Ann.

Otol.,

Rhin.

of the Nasal

& Laryng.

48:

Alae.

Lillie,

H.

I.,

and

600, 1939.

Lillie emphasized the importance of considering collapse of the alae of the nose as the cause of nasal obstruction, and he feels that this condition is more frequently present than is generally believed. If a cotton ball tucked into the anterior superior recess of the vestibule gives complete relief of obstruction, the diagnosis is established. Some patients, when the cause of obstruction is pointed out, will he able to correct the condition by correcting the air breathing. In some cases the cotton hall may be used; in others, a silver tube shaped to fit the vestibule. If other methods do not suffice, surgical procedures may be tried. It is important to take this point into consideration in patients with nasal obstruction, particularly in differentiating nasal obstruction due to allergic swelling of the mucosa and mechanical obstruction as described above.

The Upper

Respiratory

M. J., January, In lergic

Revenge

of the Allergic

Child.

Tumpeer,

I. H.:

Illinois

1940.

discussing the child, Tumpeer

general states

subject that in

of the allergy,

upper sinus

respiratory involvement

revenge of is an effect

the alrather