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February 1933


Arch Otolaryngol. 1933;17(2):222-229. doi:10.1001/archotol.1933.03570050209007

The object of this paper is to stress a method of approach in the performance of a radical operation on the maxillary antrum which, although not new, can in most cases be advantageously used in preference to the operative procedure usually employed. It has not been generally accepted as yet to the extent which its merit warrants.

Until 1908 the usual treatment for acute and chronic empyema consisted of drainage through the mouth, using either the dental alveola or an opening into the facial wall above the gingiva. Drainage through the nose was advocated by Mikulicz1 and Krause,2 but was not generally practiced because of the belief that successful drainage had to be instituted at the lowest point of the antrum. Unfortunately, these openings rarely closed permanently, with the result that pus drained into the mouth and food lodged in the antrum, unless this was prevented by using

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