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September 1927


Arch Otolaryngol. 1927;6(3):217-227. doi:10.1001/archotol.1927.00610010233003

I shall endeavor to give some impressions and experiences in the field of sinus disease which, I hope, will provoke thought and discussion. One is impressed with the relative frequency of the ethmoid operation and the comparative infrequency of operations on the maxillary sinus. Patients are being treated for ethmoiditis when active disease is present in one or both antrums. Every one sees persons who have had a series of ethmoid operations and are little benefited by them. It is little wonder, therefore, that many physicians urge that the ethmoid operation be reserved only for the most urgent indications, such as threatened loss of vision or impending intracranial complication. The dissatisfaction with the results of this operation seems to be well founded in the minds of many rhinologists. However, the basis for the seemingly large percentage of unsatisfactory results has not yet been found. Certainly, a contributing factor