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September 1945

DIAGNOSIS AND TREATMENT OF NONSUPPURATIVE SINUSITIS

Author Affiliations

Professor of Otolaryngology, University of Kansas KANSAS CITY, MO.

Arch Otolaryngol. 1945;42(3):198-207. doi:10.1001/archotol.1945.00680040258009
Abstract

I want to state in the beginning that this report has nothing whatever to do with empyema of the sinuses, for which surgical and other types of treatment are well established.

The reason for this investigation was that the sinus troubles of many patients could not be explained on the basis of infection, deformity or new growth.

The symptoms of nonsuppurative sinusitis are as follows:

  1. Postnasal discharge of a mucoid type without empyema of the sinuses.

  2. Sensation of nasal obstruction or stuffiness without actual mechanical obstruction.

  3. Pain or headache referable to the sinuses without clinical or roentgenographic evidence of suppuration of the sinuses.

  4. Fatigue without obvious organic physical findings.

  5. Neuritis in various parts of the body, especially suprascapular.

  6. Allergic manifestations.

These and many other symptoms, such as aural neuritis without discoverable cause and nervous symptoms, psychoneurotic in type, without positive findings, are frequently present.

This report is based on

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