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Frontal sinus
Orifice of middle ethmoidal cells

Superior turbinal bone
Orifice of the posterior ethmoidal cells
Orifice of the sphenoidal sinus

[graphic]

Orifice of frontal sinus Upper orifice of nasal duct

Lower orifice of

nasal duct

Orifice of Eustachian

tube
Middle turbinal bone

Inferior turbinal bone Orifice of the antrum

Orifice of infundibulum

SECTION OF THE NOSE, SHOWING THE TURBINAL BONES AND MEATUSES, WITH THE

OPENINGS IN DOTTED OUTLINE.

[blocks in formation]

CLINICAL PROFESSOR OF PEDIATRICS IN THE MEDICO-CHIRURGICAL COLLEGE
OF PHILADELPHIA; PHYSICIAN TO THE METHODIST EPISCOPAL HOS-
PITAL; PEDIATRIST TO THE MEDICO-CHIRURGICAL HOSPITAL,
To st. JOSEPH'S HOSPITAL; FELLOW OF THE AMERI-

CAN ACADEMY OF MEDICINE, ETC., ETC.

PHILADELPHIA

P. BLAKISTON'S SON & CO.
1012 WALNUT STREET

1898

COPYRIGHT, 1898, by P. BLAKISTON, Son & Co.

WM. F. FELL & CO.,
ELECTROTYPERS AND PRINTERS,
1220-24 SANSOM STREET,

PHILADELPHIA.

RC 743
H 74

1898

PREFACE.

Having had remarkable and uniform success with a simple treatment of hay-fever for the last ten years, during which time I have given complete relief to over two hundred patients in my private practice, and having made a thorough clinical study of this affection, as well as an exhaustive review of the literature relative to it, I feel justified in presenting the results of my labors in this short treatise.

There is little to be said definitely about the etiology of the disease. It is undoubtedly caused by an external irritant, possibly containing a microorganism or a toxin, which becomes especially active in the nasal passages of an individual predisposed by systemic debility or local abnormality. We acknowledge the element of neurotic disturbance, but to dogmatically define its exact cause and modus operandi is beyond us,

V

538

In order that the best thought of the subject may

be presented to the reader, I have compiled, arranged, and annotated the most worthy literature, and I acknowledge my indebtedness to the many writers quoted. The most of my original communication is devoted to the all-important point in the discussion—the successful treatment. A complete bibliography is appended.

W. C. HOLLOPETER.

1428 North BROAD STREET,

PHILADELPHIA, July, 1898.

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