On June 22, 1908, a patient was referred to me for diagnosis and treatment.
—Girl, aged 9, of American birth and Italian parentage. Her general mental and physical development and family history were good. She had had the usual diseases of childhood, including diphtheria at the age of 4, for which antitoxin was successfully used. A year later she was examined by a specialist on diseases of the nose and throat in New York City, and was successfully operated on for adenoids. The parents were then informed that there were other troubles, the nature of which they did not understand, which might be corrected when the child was older. From early infancy she had had a mucous discharge from the nose, which after the adenoidectomy, continued from the right side only.
—External examination revealed the right nostril blocked with thick, ropy mucous over the discharge of which she