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                    <text>1|[Page de titre]|1
1|Avant-propos|5
1|Historique|9
1|&amp;#201;tiologie et pathog&amp;#233;nie|23
2|&amp;#167; I. Traumatismes et corps &amp;#233;trangers.|23
2|&amp;#167; II. Propagation de voisinage.|26
3|A. Origine nasale.|26
3|B. Origine dentaire.|32
3|C. Origine maxillaire.|34
1|Sympt&amp;#244;mes|39
2|1&amp;#176; Sympt&amp;#244;mes subjectifs.|41
2|2&amp;#176; Sympt&amp;#244;mes objectifs.|43
2|3&amp;#176; Sympt&amp;#244;mes dus aux complications.|46
1|Diagnostic|50
2|I. Proc&amp;#233;d&amp;#233;s pour constater le pus dans le nez et notamment au niveau du m&amp;#233;at moyen.|51
2|II. Proc&amp;#233;d&amp;#233;s pour d&amp;#233;montrer l'existence du pus dans l'antre lui-m&amp;#234;me.|52
1|Marche. - Dur&amp;#233;e. - Pronostic|64
2|Age des malades.|64
2|Sexe.|65
1|Traitement|68
2|&amp;#167; I. Injection de l'antre par son orifice naturel|69
2|&amp;#167; II. Orifice artificiel|70
3|A. Voie nasale|70
4|a. M&amp;#233;at moyen|70
4|b. Ouverture de l'antre par le m&amp;#233;at inf&amp;#233;rieur|71
3|B. Ouverture de l'antre par la voie buccale|75
4|a. Par la paroi faciale|75
5|1&amp;#176; Tr&amp;#233;panation simple|75
5|2&amp;#176; Tr&amp;#233;panation sous-p&amp;#233;riostique|75
4|b. Alv&amp;#233;ole d'une molaire.|76
3|C. Ouverture par la joue.|77
1|Observations|80
2|Observation I. Empy&amp;#232;me latent double de l'antre d'Highmore avec s&amp;#233;cr&amp;#233;tion mucopurulente non f&amp;#233;tide, accompagn&amp;#233;e de complications pulmonaires.|80
2|Observation II. Empy&amp;#232;me chronique de l'antre d'Highmore gauche avec s&amp;#233;cr&amp;#233;tion mucopurulente non f&amp;#233;tide. Formation des cro&amp;#251;tes dans les arri&amp;#232;re fosses nasales.|86
2|Observation III. Empy&amp;#232;me chronique de l'antre d'Highmore gauche avec s&amp;#233;cr&amp;#233;tion mucopurulente non f&amp;#233;tide.|88
2|Observation IV. Empy&amp;#232;me chronique de l'antre d'Highmore droit avec s&amp;#233;cr&amp;#233;tion de pus grumeleux f&amp;#233;tide. Polypes muqueux des deux fosses nasales.|89
2|Observation V. Empy&amp;#232;me chronique de l'antre d'Highmore droit avec accumulation de pus grumeleux f&amp;#233;tide. Gu&amp;#233;rison au bout de trois jours.|91
2|Observation VI. Empy&amp;#232;me chronique de l'antre d'Highmore droit avec s&amp;#233;cr&amp;#233;tion de pus grumeleux f&amp;#233;tide. Gu&amp;#233;rison au bout de treize jours.|92
2|Observation VII. Empy&amp;#232;me chronique de l'antre d'Highmore gauche avec s&amp;#233;cr&amp;#233;tion de pus grumeleux f&amp;#233;tide. Polype muqueux de la fosse nasale gauche. Gu&amp;#233;rison au bout de 2 mois.|93
2|Observation VIII. Empy&amp;#232;me chronique de l'antre d'Highmore droit avec s&amp;#233;cr&amp;#233;tion de pus grumeleux f&amp;#233;tide.|95
2|Observation IX. Empy&amp;#232;me chronique de l'antre d'Highmore avec s&amp;#233;cr&amp;#233;tion de pus grumeleux f&amp;#233;tide. - Amaigrissement.|97
2|Observation X. Empy&amp;#232;me chronique de l'antre d'Highmore gauche avec s&amp;#233;cr&amp;#233;tion de pusgrumeleux f&amp;#233;tide. - Complications auriculaires (vertige, bruits subjectifs, sensation d'obstruction). - Complications pulmonaires.|98
2|Observation XI. Empy&amp;#232;me chronique de l'antre d'Highmore gauche avec s&amp;#233;cr&amp;#233;tion de pus grumeleux f&amp;#233;tide. Gu&amp;#233;rison au bout d'un mois et demi.|102
2|Observation XII. Empy&amp;#232;me chronique de l'antre d'Highmore droit avec s&amp;#233;cr&amp;#233;tion de pus grumeleux f&amp;#233;tide.|103
2|Observation XIII. Empy&amp;#232;me chronique double de l'antre d'Highmore avec s&amp;#233;cr&amp;#233;tion de pus f&amp;#233;tide. - Somnolence. - Complications oculaires.|104
2|Observation XIV. Empy&amp;#232;me chronique double de l'antre d'Highmore avec s&amp;#233;cr&amp;#233;tion de pus f&amp;#233;tide. - Somnolence. - Amaigrissement. - Propagation de l'Empy&amp;#232;me aux cellules ethmo&amp;#239;dales droites.|106
2|Observation XV. Empy&amp;#232;me chronique de l'antre d'Highmore gauche avec s&amp;#233;cr&amp;#233;tion de pus f&amp;#233;tide. - Polypes muqueux remplissant les deux fosses nasales.|108
2|Observation XVI. Empy&amp;#232;me chronique de l'antre d'Highmore gauche avec s&amp;#233;cr&amp;#233;tion de pus f&amp;#233;tide. - Polypes muqueux des deux fosses nasales. - Formation de cro&amp;#251;tes dans les arri&amp;#232;re fosses nasales.|110
2|Observation XVII. Empy&amp;#232;me chronique de l'antre d'Highmore droit avec s&amp;#233;cr&amp;#233;tion de pus f&amp;#233;tide (oz&amp;#233;neux). - Rhinite atrophique avec oz&amp;#232;ne.|111
2|Observation XVIII. Empy&amp;#232;me chronique double de l'antre d'Highmore avec s&amp;#233;cr&amp;#233;tion de pus f&amp;#233;tide (oz&amp;#233;neux). - Rhinite atrophique avec oz&amp;#232;ne. - Amaigrissement.|113
2|Observation XIX. Empy&amp;#232;me chronique unilat&amp;#233;ral avec s&amp;#233;cr&amp;#233;tion f&amp;#233;tide. Acne rosacea de la joue.|115
2|Observation XX. Empy&amp;#232;me chronique unilat&amp;#233;ral avec s&amp;#233;cr&amp;#233;tion f&amp;#233;tide due &amp;#224; l'extraction dentaire.|116
2|Observation XXI. Empy&amp;#232;me chronique de l'antre d'Highmore droit. Gu&amp;#233;rison par un seul lavage.|117
2|Observation XXII. Empy&amp;#232;me chronique de l'antre d'Highmore droit. - Polypes des deux fossesnasales. - Empy&amp;#232;me du sinus frontal droit avec ectasie de ses parois et hernie de son contenu. &amp;#8212; Gu&amp;#233;rison de l'empy&amp;#232;me de l'antre au bout de trois semaines.|119
1|Conclusions|123
1|Index bibliographique|125
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