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November 19, 1927

Vereinfachung und Verbesserung der West-Polyak'schen endonasalen Tränensackoperation.

JAMA. 1927;89(21):1806. doi:10.1001/jama.1927.02690210072039

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When a rhinologist and an ophthalmologist get their heads together, rhinogenic retrobulbar neuritis or dacryorhinocystotomy comes into the conversation as soon as the decks are cleared of social amenities. If the two are earnest and youthfully optimistic, as well as surgically inclined (and what rhinologist is not?), some modification of the West-Polyak or the Toti operation is apt to be conceived and in due course of time delivered. The accouchement is frequently a somewhat painful procedure, not for the progenitors but for the long-suffering rhino-ophthalmic world, forced to read and try the operation on the chance that it may somewhat lower the 50 per cent of failures of its predecessors. Usually the reading does not involve thirteen pretty illustrations and fifty-four pages of multipediculate sentences. The present volume includes the minutest details of thirty cases, more or less successful. As to the technical details of the operation, a careful perusal

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