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Asthma: Aerodynamik und Therapie

JAMA. 1936;107(25):2079. doi:10.1001/jama.1936.02770510069036.
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The author expounds his theory of distorted air currents created in the nasal passages as the important etiologic factor in bronchial asthma. He states that normally the middle meatus is the passage through which the main current of air reaches the trachea. The observations have been made by means of (1) direct rhinoscopy with tobacco smoke as a means of visualizing the air currents, (2) animal experiments, (3) the use of models of the human nose, and (4) technical apparatus and calculations. During the asthmatic attack the inferior meatus becomes the main passageway for the air currents, the latter becoming distorted and causing the asthmatic attack. The most important factor in the production of these distorted currents is the inferior turbinate, which becomes bulbous at both ends and constricted in the center. The author's therapy consists of flushing a warm solution of sodium, potassium and calcium salts in neutral solution


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