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Suppuration of the antrum is a subject so much discussed of late that it would be unprofitable to present to you anything but personal experiences on mooted points. The diagnosis of this trouble is ea sy only in cases with pronounced symptoms, but in very many it is quite difficult to be certain of it. In cases coming under your observation as dentists the dental history is often a definite guide in the diagnosis. In empyema however, of nasal origin, considerable diagnostic difficulty may be experienced.
The only constant symptom is discharge from the nose. If this be one-sided there can be scarcely any doubt that it comes from one of the accessory cavities, but not necessarily from the antrum of Highmore. When disease involves both sides, however, this criterion fails. A fetid odor strongly suggests retention of pus in a sinus. The pus is probably always fetid if of
GRADLE H. PERSONAL EXPERIENCES IN EMPYEMA OF THE MAXILLARY SINUS. Read in the Section of Oral and Dental Surgery, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June, 1892. JAMA. 1892;XIX(27):773–774. doi:10.1001/jama.1892.02420270011001c
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