The questions of etiology and differential diagnosis are considered in this paper only so far as they have direct bearing on the proper treatment.
Empyemata of the antrum may be divided etiologically into two classes.In the first class are those cases which originate in diseased processes in the tooth roots or which occur in connection with and as a result of pathologic processes around the tooth roots and are said to be as a whole cases of dental origin.In the second class of cases, which increasing experience is showing us to be much the larger of the two, are those empyemata of the antrum due to nasal conditions. The epidemic form of influenza known as grip, is by far the most common cause of the acute empyemata, whereas old, long-continued inflammations, ethmoidal or frontal, or any other nasal cause which interferes with the natural drainage of the
RICHARDS GL. THE TREATMENT OF EMPYEMATA OF THE MAXILLARY SINUS THROUGH THE NOSE. JAMA. 1905;XLV(12):821–826. doi:10.1001/jama.1905.52510120005001a
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