Until six years ago I believed that an intranasal antrum operation was not to be considered in the treatment of chronic maxillary sinusitis. If an operation was warranted at all, no procedure short of a radical Caldwell-Luc operation would suffice, and to this principle I firmly adhered.
In September 1927, I became interested in the intranasal antrum operation and believed that perhaps I had been overlooking an important and helpful procedure in the treatment of chronically infected maxillary sinuses.
I do not mean to imply that the Caldwell-Luc operation can be safely and totally replaced by this more conservative procedure. However, my experience convinces me that in many cases the end-results in a properly performed intranasal operation are equal and even superior to those obtained by the more radical approach through the canine fossa. It is to be hoped that further study will make it possible to know when the