Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


_In the septum of the nose, the nasal bones, and the hard palate_,
gummatous disease causes ulceration, which, beginning in the mucous
membrane, spreads to the bones, and being complicated with septic
infection leads to caries and necrosis. In the nose, the disease is
attended with stinking discharge (ozoena), the extrusion of portions of
dead bone, and subsequently with deformity characterised by loss of the
bridge of the nose; in the palate, it is common to have a perforation,
so that the air escapes through the nose in speaking, giving to the
voice a characteristic nasal tone.

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