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Article
September 1931

A RETRACTOR FOR USE IN RADICAL OPERATION ON THE ANTRUM

Author Affiliations

CONCORD, N. H.

Arch Otolaryngol. 1931;14(3):341. doi:10.1001/archotol.1931.00630020381011
Abstract

In the radical operation (Caldwell-Luc) for maxillary sinusitis, it is necessary to make a large permanent opening in the naso-antral wall in the inferior meatus; the complete removal of bone and mucous membrane is essential for this end. The more cleanly this can be done with a minimum of rasping and trauma, the better and more permanent the end-results will be. I have found the following procedure of distinct value.

The usual incision over the canine fossa is carried to the median line, and the periosteum is elevated to and around the lower border of the pyriform opening, as in the Denker operation. The mucosa and periosteum are then elevated from the inferior meatus, down to the floor, up to the attachment of the lower turbinate and as far back as it is desired to carry the removal of bone. A small, flexible, flat retractor is then introduced into the

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