=Lack, Lambert.—Case of Nasal Polypi, with Suppuration and Absence of
Maxillary Sinuses.=—_Jour. of Lar., Rhin. and Otol._, April, 1900.
A man, aet. twenty-eight years, complains of nasal obstruction and
purulent discharge, with a disagreeable odor in the nose. The polypi
having been removed, the pus appeared to flow from under the anterior
ends of the middle turbinates. After wiping the discharge away and
bending the patient’s head forward, it reappeared in large quantity. On
transillumination the cheek on both sides appeared quite dark, and the
patient had no subjective sensation of light. The diagnosis of antral
suppuration was now considered almost certain, and the patient was
advised to have both antra punctured from the alveolar margins. This was
accordingly attempted under gas, but although the antrum drill was
forced in for its full length, no cavity was reached.
Puncture from the inferior meatus was next attempted, and considerable
force was used in two different points; but with no better result. It
would seem therefore that the antra must be very small, if not entirely
absent.
_Discussion._—Mr. Spencer thought it might be one of those convoluted
inferior turbinals which form a gutter in which pus collects. The
majority considered it suppuration in the ethmoidal region.