My experience with chronic suppurative disease of the frontal sinus has been so unsatisfactory, regardless of the method of operation adopted, that I determined to find, if possible, where the fault lay. The necessity for this investigation was doubly impressed upon me from the fact that I found my colleagues in practice were likewise having the same experience with their cases. I speak now only of those old cases of chronic suppurative disease with rather free drainage of the inflammatory products into the nose, and of the small percentage of these where there is retention of the inflammatory products. Recent cases are readily handled by almost any one of the extranasal methods adopted, but when the process has been of long duration and every recess of the sinus has become involved, the whole lining membrane pyogenic, and in places gangrenous, and, in very old cases the bone itself involved, the
PAYNE RW. ANOMALIES OF THE FRONTAL SINUS AND THEIR BEARING UPON CHRONIC SUPPURATIVE SINUSITIS. JAMA. 1901;XXXVII(4):239–241. doi:10.1001/jama.1901.62470300007001a
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