The present conviction that rheumatoid, cardiac and pyemic diseases emanate from foci of infection often situated in the tonsils, and the occurrence, which I have repeatedly noted, of nasal sinus suppuration, together with secondary infective tonsillitis, and again, with infective hyperplasia of the minor lymphoid groups, render important the evidence which serves to establish the microbic origin of the lymphoid enlargement, and tends to substantiate the sinus disease as the primary source of infection. Though typical sinus suppuration makes itself obvious, the discharge need not amount to actual pus, the disease being prevalent in attenuated, yet virulent forms, which are readily overlooked. The particular qualities noted as characterizing infective lymphoid hyperplasia are: a conspicuous enlargement of the smaller clusters and single follicles, an apparently diffused lymphoid infiltration of adjoining tissue, and a decided disposition, in consequence, to redevelopment after excision. In addition to these, recognition of its situation as being

Not differing from tuberculosis elsewhere, the first definite change provoked by the bacillus in the larynx is an infiltration of the mucosa and submucosa by a diffusion of small, round, mononuclear cells, interspersed among which are collections of epithelioid and lymphoid cells in the form of tubercles, which are deposited, in large part, in the connective tissue beneath the epithelial and structureless layers, and hence near enough to the surface to change its aspect in form and feature. Accordingly, the recognition of early changes in tuberculosis of the larynx will be promoted by keeping in mind: First, the disposition of tubercles and tuberculous nodules to assume a globular form, which gives the surface of the infiltration, also termed hyperplasia, a mammillated aspect. Secondly, their disposition to excite verrucous and granulomatous formations which, though ordinarily delayed till the stage of ulceration, may make an earlier appearance and give the surface a

The LaryngoscopeVolume 21, Issue 1 p. 25-26 Article Special editorial department: Laryngeal, bronchial and esophageal endoscopy edited by chevalier jackson, m. d., pittsburg, pa. 2. cutting in two of a large steel pin while transfixed in the left bronchus. removal. w. e. casselberry, m. d. jour. amer. med. assoc., july 2, 1910 First published: January 1911 https://doi.org/10.1288/00005537-191101000-00010AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume21, Issue1January 1911Pages 25-26 RelatedInformation

The conditions which result from secondary infection, bound to occur in time at the site of a foreign body, which remains unrecognized or unremedied in the bronchopulmonary tract, must often have been mistaken for primary tuberculosis or other initial disease for instance, a chronic pulmonary abscess, menacing to life, eluded all efforts to establish its cause until the sudden expulsion by cough of a spicule of bone, which was followed promptly by healing of the abscess. But that secondary infection may be delayed, for weeksor months, with little or no suffering, provided the foreign body be of narrow caliber, non-obstructive and non-absorbent, was notably evident in connection with the glass-headed, 1½-inch, very sharp, black steel pin, which lodged in part at the bottom of the left bronchus and in part within the first bronchial branch of a 15-year-old girl. In this position the pin had remained undisturbed and undisturbing for a period

Since 1891, when, in a paper before the American Laryngological Association, I advocated resection of the middle turbinated body as essential to the radical treatment of ethmoiditis and nasal polypus, a review of the records shows that I have done this operation on about 120 patients, invariably with more or less benefit and never with any serious detriment resulting. Also, it is shown that many times a resection, though perhaps recommended, was omitted, when, in accordance with my present understanding, it would have remedied the conditions most promptly and effectively.INDICATIONS FOR THIS OPERATION.Analyzing these resections, the purposes of the operation have been: To promote drainage and counter-drainage in nasal accessory sinus suppuration and for access in diagnosis and treatment. To promote drainage and cleansing in certain types of atrophic rhinitis (atrophic ethmo-rhinitis). To relieve edematous turgescence and to provide access for the radical treatment of non-suppurative ethmoiditis and

The LaryngoscopeVolume 16, Issue 6 p. 425-432 Original Communication The indications for surgical interference in disease of the faucial tonsils and the methods of choice in operating. An analysis of 480 cases W. E. Casselberry M.D, W. E. Casselberry M.D ChicagoSearch for more papers by this author W. E. Casselberry M.D, W. E. Casselberry M.D ChicagoSearch for more papers by this author First published: June 1906 https://doi.org/10.1288/00005537-190606000-00001Citations: 2AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume16, Issue6June 1906Pages 425-432 RelatedInformation

The LaryngoscopeVolume 15, Issue 8 p. 607-610 Article The conservative treatment of chronic suppuration of the frontal sinus† W. E. Casselberry M.D., W. E. Casselberry M.D. CHICAGOSearch for more papers by this author W. E. Casselberry M.D., W. E. Casselberry M.D. CHICAGOSearch for more papers by this author First published: August 1905 https://doi.org/10.1288/00005537-190508000-00004 † Read before the Twenty-seventh Annual Congress of the American Laryngological Association, held at Atlantic City, June 1 to 3, 1905. AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Volume15, Issue8August 1905Pages 607-610 RelatedInformation

A typicalangioma simplexis composed of new-formed, very tortuous blood-vessels, held together by a small amount of connective tissue and situated usually in the skin, e. g., nevus. The normal vessels of the part where it is situated may enter more or less into its formation, becoming dilated and tortuous, and it has therefore become customary to include in the class of angiomata tumors composed entirely of dilated pre-existent vessels, although the term telangiectasis or telangiectoma is by some preferred to this sort of angioma where dilatation is more prominent than actual new formation. A typicalangioma cavernosumis composed chiefly of blood spaces lined with endothelium, separated by a stroma of connective tissue. The spaces contain venous blood, but seem to represent capillaries, being interposed between arteries and veins. The structure is similar to that of the corpus cavernosum. Such are often found in the liver. The vascular

The LaryngoscopeVolume 6, Issue 1 p. 71-71 Abstract and BibliographyFree Access A case of nasal fibroma W. E. Casselberry, W. E. CasselberrySearch for more papers by this author W. E. Casselberry, W. E. CasselberrySearch for more papers by this author First published: January 1899 https://doi.org/10.1288/00005537-189901000-00014AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume6, Issue1January 1899Pages 71-71 RelatedInformation

The desirability of an anesthetic that would obviate the general objections pertaining to chloroform and ether in operation on tonsils and adenoids has been the source of much research. The chief objection to chloroform lies in its danger; bromid of ethyl has scarcely attained any greater confidence; ether, while reasonably safe, is so prolonged in its effects as to be inconvenient for this purpose. Nitrous oxid alone has been employed by a few operators, notably at the Central London Throat Hospital, but the available operating period from a single administration is almost too brief for the satisfactory removal of both the tonsils and adenoids. Experience has proven this anesthetic, however, to be safer than any other and to possess the advantage of a rapid revival of the patient; therefore following Gardner, Hunt and Hewitt of England, and Van Arsdale of New York, we have sought to modify the action of

The condition which, for the sake of simplicity in nomenclature is designated "Abscess of the Septum," only occasionally presents the typical characteristics of acute circumscribed suppuration. When caused by traumatism the first stage may be an effusion of blood beneath the muco-perichondrium of the cartilaginous septum which is termed "Hematoma of the Septum." In time the blood degenerates, perhaps becomes infected by pyogenic microorganisms and changes to a brownish yellow fluid which when evacuated appears neither like blood nor typical pus. In this state it has been called "Cold Abscess," and again when it does originate without traumatism and runs an acute course with pain, fever and obstructive swelling terminating in ideal suppuration, it has been spoken of as "Acute Perichondritis." Jurasz1has described a form in which the contained fluid is at first serous, termed serous perichondritis. Some sort of abscess is the culminating stage of all these

The LaryngoscopeVolume 1, Issue 3 p. 142-144 Article Intubation in the adult, with special reference to acute stenosis of the larynx† W. E. Casselberry M.D., W. E. Casselberry M.D. Professor of Therapeuties and of Laryngology and Rhinology in Northwestern University Medical School; Laryngologist and Rhinologist to St. Luke's Hospital; Laryngologist to Wesley Hospital, etc.Search for more papers by this author W. E. Casselberry M.D., W. E. Casselberry M.D. Professor of Therapeuties and of Laryngology and Rhinology in Northwestern University Medical School; Laryngologist and Rhinologist to St. Luke's Hospital; Laryngologist to Wesley Hospital, etc.Search for more papers by this author First published: September 1896 https://doi.org/10.1288/0010316-5540900202-00001 † Abstract of a paper read at the last meeting of the American Laryngological Association, June, 1896. Original paper in full in the hands of New York Med. Journal, for publication in due time. AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Volume1, Issue3September 1896Pages 142-144 RelatedInformation

The LaryngoscopeVolume 1, Issue 2 p. 76-77 Original Communication Electrolysis for the reduction of spurs of the nasal septum† W. E. Casselberry M.D., W. E. Casselberry M.D. CHICAGO Professor of Laryngology and Rhinology in Northwestern University Medical School (Chicago Medical College); Laryngologist and Rhinologist to St. Luke's Hospital; Laryngologist to Wesley Hospital, EtcSearch for more papers by this author W. E. Casselberry M.D., W. E. Casselberry M.D. CHICAGO Professor of Laryngology and Rhinology in Northwestern University Medical School (Chicago Medical College); Laryngologist and Rhinologist to St. Luke's Hospital; Laryngologist to Wesley Hospital, EtcSearch for more papers by this author First published: August 1896 https://doi.org/10.1288/00005537-189608000-00002 † Abstract of a paper read at the last meeting of the American Medical Association, at Atlanta, Ga., May, 1896. Original paper, in full, in the hands of Journal of American Medical Association for publication in due time. AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume1, Issue2August 1896Pages 76-77 RelatedInformation

The forms of rhinitis which affect children are, in the main, subject to the same classification as when affecting adults. Various phases of the disease, however, both in pathology and clinical history, assume in childhood different degrees of importance, by reason of special tissue proclivities which are incidental to early life, and of unusual damage liable to ensue in a child from neglect of the disease during the developmental period. The treatment also requires special adaptation to the comparative helplessness and timidiy of young children. ACUTE RHINITIS. Acute rhinitis, colloquially termed "cold in the head," is an acute inflammation of the mucous membrane lining the nasal cavities from the anterior nares to the naso-pharnyx. It is prone to extend to adjoining mucous surfaces and usually embraces the naso-pharnyx, at least to some degree, and thence not infrequently also the middle ear. Etiology.—Reasoning from analogy, one must regard acute suppurative rhinitis

The little patient now being anæsthetized suffers from a congenital cleft of the palate which extends through the uvula and velum and some distance into the hard palate — about through the horizontal plate of the palate bone, but not involving the superior maxilla. On inspection, the parts appear as if there were no soft palate, the side flaps being retracted by muscular tension, leaving a wide, inverted, V-shaped opening, through which is visible the posterior and superior walls of the naso-pharynx, with their covering of adenoid glandular tissue. In severer cases, the fissure may extend through the entire roof of the mouth, and may be conjoined with hare-lip. The operation is known as staphylorophy when the cleft involves the soft palate only, or extends but little into the hard palate, and osteoplasty when the palate process of the superior maxilla is so deficient as to necessitate the Fergusson procedure

The little patient now being anæsthetized suffers from a congenital cleft of the palate which extends through the uvula and velum and some distance into the hard palate — about through the horizontal plate of the palate bone, but not involving the superior maxilla. On inspection, the parts appear as if there were no soft palate, the side flaps being retracted by muscular tension, leaving a wide, inverted, V-shaped opening, through which is visible the posterior and superior walls of the naso-pharynx, with their covering of adenoid glandular tissue. In severer cases, the fissure may extend through the entire roof of the mouth, and may be conjoined with hare-lip. The operation is known as staphylorophy when the cleft involves the soft palate only, or extends but little into the hard palate, and osteoplasty when the palate process of the superior maxilla is so deficient as to necessitate the Fergusson procedure