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July 31, 1915


Author Affiliations

Pittsburgh Fellow of the American College of Surgeons; Rhinolaryngologist and Aurist, Tuberculosis League Hospital; Instructor of Laryngology, University of Pittsburgh, School of Medicine

JAMA. 1915;LXV(5):418-419. doi:10.1001/jama.1915.02580050046012

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Suppurating (empyema) frontal (and ethmoidal) sinusitis with fistula; radical frontal sinus (Killian) operation. Identical though independent condition six months later on opposite side.

The patient, a youth aged 16 years, referred by Dr. T. J. Moran, first consulted me, Dec. 3, 1914. There was nothing pertinent in either his family or previous medical history with the exception of his reference to his present condition. He stated that three years ago his left eye became swollen shut by a great swelling of both lids, due to what he thought was a "boil," which seemed to point above and internal to the inner canthus. At this point it was lanced by his physician and had persisted uninterruptedly ever since as a discharging fistula.

A rather remarkable fact in this connection is that during the past three years he had anxiously sought relief from numerous physicians and hospital clinics without result.

Examination revealed

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