It is now generally recognized that affections of the nasal accessory sinuses are more common than they were formerly supposed to be. Many physicians still hold the opinion, however, that neither their frequency nor import are as yet fully appreciated. By careful examination many a case of supposed rhinitis will be found to be associated with, and dependent upon, a chronic, or acute, sinusitis. This is particularly the case in the condition known as purulent rhinitis in children, where the sinusitis is the rule rather than the exception. Moreover, the proper treatment of the sinus disease will result in great amelioration, if not complete cure, of the so-called purulent rhinitis. If it be true that a chronic purulent rhinitis is due to, and maintained by, a chronic sinusitis, and if we accept the view that atrophic rhinitis is a sequel of chronic purulent rhinitis, then it is evident that we
VANSANT EL. A BRIEF NOTE ON THE PATHOLOGY, DIAGNOSIS AND TREATMENT OF NASAL ACCESSORY-SINUS AFFECTIONS. JAMA. 1901;XXXVI(20):1375–1376. doi:10.1001/jama.1901.52470200015001b
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