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November 1962


Arch Otolaryngol. 1962;76(5):481. doi:10.1001/archotol.1962.00740050493021

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To the Editor: The authors Ronald Macbeth and Michael Hall published, in the May issue of the Archives (75:440, 1962) an article under the title indicated above. They make a plea that patients with carcinoma of the breast should be operated on by rhinologists for removal of the hypophysis: "The classical transseptal approach... of Cushing and the transethmoidal route advocated by Nager paved the way...."

These historical allusions are erroneous and need correction. What both authors call the "classical transseptal approach of Cushing" has been called, by Cushing himself, his favored method—"to all intents and purposes similar to the intranasal methods which Hirsch has recently described, and which he has successfully practised in a number of cases" (Cushing, H.: Pituitary and Its Disorders, Philadelphia, J. B. Lippincott, 1912, p. 300).

Also, Nager cannot be called a pioneer, as far as the transethmoidal method is concerned. Many surgeons have preceded him.

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