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Grove describes a necrosed inferior turbinated bone, to which was attached a coffee-grain which had been retained in the nostril for twenty years., Hickman gives an instance of a steel ring which for thirteen and a half years had been impacted in the nasopharyngeal fossa of a child. It was detected by the rhinoscope and was removed.
"When the drainage system of the nose and the nasopharyngeal cavities has been completely destroyed, the impurities must either travel upward into the brain or downward into the glandular structures of the neck, thence into the bronchi and the tissues of the lungs. "If the trend be upward, to the brain, the patient grows nervous and irritable or becomes dull and apathetic.
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