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November 1932


Arch Otolaryngol. 1932;16(5):698-704. doi:10.1001/archotol.1932.00630040711005

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The marvelous development of the various radical operations on the paranasal sinuses—and one must admit that they have well nigh reached the point of perfection from a mechanical point of view—has inspired confidence in them, especially among the younger rhinologists, that is unwarranted by the ultimate clinical results.

An operation may be a triumph of perfection in the eyes of the mechanical genius who devised it, or of the skilful operator who faithfully followed his directions in every particular; yet the same operation may be pronounced a colossal failure by the patient, who during the remainder of his life may have to contend with a pus-secreting, scabbing area in his nose, a constant menace to his health and happiness.

There are occasions when radical operations on the sinuses not only are indicated, but are absolutely necessary; a decision, however, to operate, save in an emergency, should not be

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