A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Science
A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Medicine -- Practice
In the cartilaginous septum of the lower animals we find a small cavity
lined with mucous membrane, called after its discoverer Jacobson's
organ, the minute anatomy of which has lately been described by
Klein.[18] This {35} organ in man is, however, only rudimentary. The
nasal cavities are lined with mucous membrane, which varies greatly in
thickness in different localities, and which materially decreases the
size of the cavities in the living subject from that seen in the
denuded skull. This mucous membrane is covered by ciliated epithelium
in man, with the exception of that portion which lines the
vestibule--_i.e._ that portion of the cavity of the nose surrounded by
cartilage only--which is covered by pavement epithelium.
[Footnote 18: _Quarterly Journal of Mic. Science_, January, 1881.]
In the lower animals we find that in the olfactory region the ciliated
epithelium is either absent, or that ciliated and non-ciliated
epithelium alternates in patches.[19] The author has not been able to
find a statement in the literature on the subject as to the kind of
epithelium found in the accessory cavities in man, but it is very
probable that the mucous membrane of the frontal sinuses and the antra
of Highmore is covered with ciliated epithelium; otherwise it would be
difficult, if not impossible, for the secretions of that mucous
membrane to pass through the narrow channels into the nasal cavities.
The color of the normal nasal mucous membrane is of a light pink shade
in what is termed the respiratory portion, while it is of a yellowish
hue in the olfactory region, that portion of the mucous membrane which
covers the roof and the outer walls of the nasal cavities down to the
upper margin of the middle turbinated bone and the septum down to about
the same level. It is in this region that the nerve-ends of the
olfactory nerve are distributed. Immediately beneath the mucous
membrane, and between it and the periosteum of the bony walls and the
perichondrium of the cartilaginous portion of the septum, we find a
tissue which bears a striking resemblance to the erectile tissue of the
genital organs.[20] It is composed of a network of fibrous tissue, the
trabeculæ of which contain a few organic muscular fibres. Its meshes of
various sizes and shapes are occupied by venous sinuses lined with
endothelium. These are supplied with blood by small arterioles and
capillaries, which are quite numerous in the fibrous tissue and can
readily be demonstrated under the microscope. In this arrangement of
elements of the nasal mucous membrane we find a ready explanation of
the fact that liquids of greater or less density than the serum of the
blood when introduced into the nasal cavities produce pain, for we have
here the most favorable conditions for osmosis, which will cause either
a contraction or a distension of the sinuses. In the larger masses of
fibrous tissue between the sinuses or caverns we find imbedded the
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