So much has been written upon this subject that it may seem superfluous at this time to again bring it before you for consideration. That empyema of the nasal accessory cavities, especially the antrum of Highmore, is far more frequent than is generally supposed, and as frequently overlooked, I think ''may go without saying." Failure to relieve many of our socalled ''old catarrhal cases'' after we have removed all visible obstructive and diseased tissue in the nasal and pharyngonasal cavities, is due to not recognizing suppurative and other pathologic conditions in the accessory cavities. Empyema of the maxillary sinus is caused most frequently by dental caries, and the removal of a dead tooth that penetrates the cavity usually gives prompt relief, unless the suppurative process has continued long enough to result in caries and granular or polypoid degeneration of the lining intracellular membrane.
The cause which interests us most is
STUCKY JA. THE MAXILLARY SINUS. CHRONIC EMPYEMA THEREOF; ITS TREATMENT. JAMA. 1899;XXXII(9):471–473. doi:10.1001/jama.1899.92450360021001k
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