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September 2, 1939


JAMA. 1939;113(10):909-913. doi:10.1001/jama.1939.02800350019006

The rational treatment of sinusitis depends on a sane appreciation of the newer anatomic and physiologic facts, the result of clinical and experimental studies.1 The diagnosis must distinguish between conditions the result of infection and of allergic manifestations.

The treatment of sinusitis in children differs from that in adults in that the rhinologist hopes to terminate their infections or correct their allergic disturbances, thus obtaining a permanent cure. The value of sulfanilamide therapy is a disputed question, with opinions of wide variance being given by different authorities.2

There are two schools of thought regarding the ability of the sinuses to enter into the autoimmunization of a patient against infections of his environment. The conservative idea is that the sinuses play no part, but the modern that they are capable of sharing with the members of Waldeyer's ring a selective immunization against the infections that invade the upper respiratory