Thirty-five years ago the operative procedure in the nose was very crude. Nasal obstruction was generally relieved by using a strong, broad forcep, which was inserted in the nostril, and everything that could be grasped, was, with a twisting, pulling motion, removed from the nose. Then the cure of all our nasal ills was tried by removing the lower turbinates. Owing to the dry condition of the membrane thus produced, it was found better to attack the septum, attempting to correct its shape by cutting and reforming, leaving the lower turbinates in place.
The removal of the anterior ends of the middle turbinates relieved many headaches and sinus infections, and regardless of the development of the submucous resection of the septum, the operation was gradually extended until the entire middle turbinates were removed to relieve these conditions.
This indiscriminate removal of the middle turbinates and the ethmoidal cells caused disagreeable
PRATT JA. THE PRESENT STATUS OF THE INTRANASAL ETHMOID OPERATION. JAMA Otolaryngol Head Neck Surg. 1925;1(1):42–50. doi:10.1001/archotol.1925.00560010050004
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