Frederick Gymer Parsons and Harriette Lombard Hennessy

“ No explanation of the function of Jacobson’s organ in man is known, and it is probably entirely atavistic. At birth the nasal cavities are very shallow from above downward, but they rapidly deepen till the age of puberty. The external nose at birth projects very little from the plane of the face except at the tip, the button-like shape of which in babies is well known. ”

“ The accessory sinuses of the nose are also prone to disease. The maxillary antrum may become filled with muco-pus, forming an empyema, pus escaping intermittently by way of the nose. The condition causes pain and swelling, and may require the irrigation and drainage of the antrum. The frontal sinuses may become filled with mucous, owing to the swelling of the nasal mucous membrane over the middle turbinated bone, or an acute inflammation may spread to the frontal sinuses, giving rise to an empyema in that locality. ”

“ The nasal bones are frequently fractured as the result of direct violence, as by a blow from a cricket ball or stick. The fracture is usually transverse, and may be communicated, leading to much deformity if left untreated. ”

“ In the third month Jacobson’s organ may be seen as a well-marked tube lined with respiratory mucous membrane and running upward and backward, close to the septum, from its orifice, which is just above the foramen of Stensen in the anterior palatine canal. In man it never has any connexion with the olfactory membrane or olfactory nerves. ”

“ Nasal acne occurs mainly in dyspeptics and tea drinkers, and the more advanced condition, lipoma nasi, chiefly in elderly men addicted to alcoholism. The treatment of acne is the removal of the dyspepsia with the local application of sulphur ointment or of a lotion of perchloride of mercury. ”

“ The treatment is directed towards increasing the action of the kidneys, skin and bowels. A brisk mercurial purgative is indicated, and salicin and aspirin are useful in many cases. Considerable relief may be obtained by washing out the nasal cavities several times a day with a warm lotion containing boric acid. ”