The afflicted portion of the public and many members of the medical profession feel that the management of chronic sinus disease is a failure. The public has been forced to this conclusion by multiple sad experiences, and the physician to the same attitude by repeated disappointments. The phrase "once a sinus operation, always a sinus operation" is an axiom heard in every part of the country. This fact results in frequent adverse advice from the general physician and is a challenge to every rhinologist.
The recognition, in recent years, of the importance of chronic sinus infection in respiratory and in systemic disease has awakened a new interest in the problem of management and created a new and greater demand for better results.
There exists on every hand widespread opposition to so-called "radical" methods, which has directed the major attention and effort of rhinologists toward devising "conservative" and "modified radical" managements.
SMITH F. MANAGEMENT OF CHRONIC SINUS DISEASE. Arch Otolaryngol. 1934;19(2):157–171. doi:10.1001/archotol.1934.03790020003001
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