The afflicted public and many of the profession feel that the management of chronic sinus disease is a failure. The public has been forced to this conclusion by multiple sad experiences and the physician to the same attitude by repeated disappointments. The phrase "once a sinus operation, always a sinus operation" is an axiom heard in every part of the country. This fact results in frequent adverse advice from the general physician and is a challenge to every specialist in the profession.
The intimate etiologic relation of chronic sinus disease to the general manifestations of chronic infection, its extreme importance in the proper management of chronic bronchitis, and its frequent origin of bacterial allergens producing asthma, to say nothing of local symptoms, demands a clear statement to the general profession of what can be done and a change of attitude on the part of many special practitioners which will permit
SMITH F. CHRONIC SINUS DISEASE: ITS PRESENT STATUS. JAMA. 1933;100(6):402–407. doi:10.1001/jama.1933.02740060018006
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