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Comentari del primer model de rinomanòmetre presentat per Cottle
El
model fou ideat per M. Cottle i P. Cole. Fou un primer intent per
intentar objectivar la permeabilitat nasal. Retenim diversos fragments
significatius al voltant de la rinomanometría de textes de M. Cottle,
que tenen un considerable valor històric.
"
This is a time in the history of medicine when a seminar on respiration
includes, besides the usual discussion of pulmonary and cardiac
physiology, presentations of nasal physiology, naso-pulmonary and naso-cardiovascular
relationships, naso-antral breathing and the reflex neurological
connections between the nose and near and distant organs."
"....the
study of the lungs and heart and other parts of the body which play
important roles in breathing has expanded into an enormous coordinated
scientific abundance of cardio-pulmonary and cerebral physiological
investigations ... The role of the nose in the vital function of
breathing has been grossly neglected to the detriment of the welfare of
ours patients....causing an impedance to progress in rhinologic
diagnosis and nasal medical and surgical therapy."
"Many
clinicians, physiologists, and physicists throughout the world are
building up an enormous fund of information on the identifying and
measuring of nasal activities and characteristics and it won’t be long
before it will become inexorably incumbent upon every doctor to include
in the total evaluation of a patient’s health the estimation of nasal
functions disturbance. Then, as a matter of course, every rhinologist
will be expected to be able to give a detailed and critical diagnostic
opinion of the functioning of the nose in addition to the present day
practice of just describing anatomical variations."
Maurice
H. Cottle M.D.
Extret
literalment dels apunts de un Curs del Prof. M. Cottle on va assistir el
Dr. J. M. Montserrat Viladiu. "The work, ways and patterns of nasal
breathing". New Orleans, Louisiana, September, 19, 1972.
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