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Article
November 30, 1895

OPERATIVE TREATMENT OF PURULENT DISEASE OF THE ANTRUM OF HIGH-MORE, WITH EXHIBITION OF NEW INSTRUMENTS.

Author Affiliations

Adjunct Professor of Laryngology in the Philadelphia Polyclinic; Consulting Laryngologist to the Pennsylvania Institution for the Deaf and Dumb, etc. PHILADELPHIA.

JAMA. 1895;XXV(22):940-943. doi:10.1001/jama.1895.02430480018001d

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Abstract

In considering the operative treatment of purulent disease of the antrum of Highmore, I shall speak only of operations for chronic disease. Acute purulent cases, which in my experience are of much more frequent occurrence and much oftener of intranasal than of dental origin, seldom require more than the removal of the cause and appropriate local and constitutional remedies.

Antrum operations naturally divide themselves into two classes: the intranasal and the intra-oral. Each has its advantages, and many methods have been devised to meet the indications demanded by the two positions. Until recently the general rule has been to open the antrum at its lowest attainable point, in order to secure the best drainage, as with scarcely an exception the importance of drainage was especially urged as the sine qua non of correct surgical treatment, for it was not deemed inexpedient to have such a pus cavity draining into the

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