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ENZYMES IN THE TREATMENT OF NASAL POLYPI, ANGIOMA OF THE NOSE. AND CHRONIC OTITIS.

TALBOT R. CHAMBERS, M.D.
JAMA. 1899;XXXIII(19):1146-1147. doi:10.1001/jama.1899.92450710028001i.
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Nasal polyps, as has been so succinctly shown by Jonathan Wright1 of Brooklyn, are so-called because of their pedunculated form, and are usually simply an expression of overnutrition of the part; a coincidence with chronic catarrh, and secondarily arising from the inflammatory condition of subjacent periosteum.

A myxomatous polyp, Wright calls "an edematous polyp," because it is a mucous membrane infiltrated and hypertrophied by the encapsulation in fibrous meshes of a more or less fluid mucous secretion. It has varying attenuations, sometimes even being quite firm and resisting. After speaking of the stroma, epithelium, fluid contents, glands and nerves, he says: Blood-vessels are scanty and capillary in size." But these blood-vessels have great importance, and bleed most freely under certain conditions. I will never forget my experience with a patient from whom I had snared, imperfectly perhaps, under eucain, when that deceiving drug was first introduced. The hemorrhage was

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