The method to be described was developed for the following reasons. Dissatisfied with the results of radical maxillary operations performed by the Watsuji-Denker method and Caldwell-Luc method, I soon began to include the curettage of the ethmoids. I realized that it was often not possible to ascertain whether or not the ethmoids had been thoroughly exenterated until one laid open the frontal sinus or even the sphenoid sinus.
Thus, my sinus operations gradually became either polysinusectomies or pansinusectomies. The Table below, representing the morbidity rate affecting various sinuses, indicates the results of my gross observations when sinuses were surgically opened.
From the above figures, the following conclusions are drawn: In the operative treatment of sinusitis in our country an undue emphasis has been placed on the maxillary sinus. However, in order to gain better surgical results, I believe greater attention should be directed to the ethmoids and an adequate curettage
NISHIHATA T. Polysinusectomy and Pansinusectomy: Operations Using Combined Routes. Arch Otolaryngol. 1961;74(3):243–250. doi:10.1001/archotol.1961.00740030250002
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