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Article
April 1925

COLLEGE OF PHYSICIANS, PHILADELPHIA SECTION ON OTOLOGY AND LARYNGOLOGY

Arch Otolaryngol. 1925;1(4):467-471. doi:10.1001/archotol.1925.00560010487013

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Abstract

Some Observations on Certain Forms of Chronic Sinusitis. Presented by Dr. Ross H. Skillern.  Dr. Skillern made reference to chronic inflammatory conditions of the maxillary, frontal and sphenoid sinuses. A plea was made for the early correction of any intranasal abnormality which might serve to prevent subsidence of the pathologic process. The sinus question should be approached with the idea of providing adequate aeration and drainage, avoiding radical procedures as much as possible.Needle puncture of the maxillary antrum is considered by Dr. Skillern to be an important diagnostic and therapeutic procedure. Much information relative to the condition of the sinus mucosa can be obtained in this manner. It is his practice to inject slowly a small amount of air after insertion of the needle. If obstruction is met, a stylet is inserted. No untoward results have been experienced.

DISCUSSION  Dr. George B. Wood, in referring to antrum puncture, said

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