It is both an honor and a challenge to review and comment on the landmark publication entitled "Diagnosis and Treatment of Abscess of the Antrum," by Joseph H. Bryan, MD, published in the Oct 5, 1889, issue of The Journal. Bryan's original manuscript was presented to those assembled at the Section of Laryngology and Otology at the 40th Annual Meeting of the American Medical Association, which was held in June 1889.
The great significance of this publication is apparent when it is placed in the context of the location and time of its publication. European physicians were providing most of the advances in rhinology. The brief period between 1886 and 1893 is the interval during which physicians began to become aware of the frequent need for surgical intervention in the management of chronic sinus infection. In 1886, Mikulicz1 published his important work in Germany, recommending the transnasal, surgical management
Bailey BJ. Abscess of the Antrum. JAMA. 1983;250(3):400–404. doi:10.1001/jama.1983.03340030060034
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