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So much has been written in recent years about the necessity of radical external operations and the meticulous removal of every vestige of lining mucous membrane in chronic suppurative pansinusitis that one wonders whether the surgical axiom of adapting an operation to the pathologic condition encountered rather than adapting the patient to a certain operative technic still holds true.
The technical approach to the surgical problem involved in the successful management of chronic suppurative sinusitis may in a large measure be dependent on the capability of the surgeon.
It would be entirely contrary to my clinical and surgical experience to concede that it is necessary to remove every vestige of lining mucous membrane in every case of chronic suppuration of a paranasal sinus. It is frequently claimed that the membranes should be removed because bacteria are found in specimens of membrane that are examined. The validity of this
LILLIE HI. CHRONIC SUPPURATIVE SINUSITIS: A POINT OF VIEW AS TO TREATMENT. Arch Otolaryngol. 1935;21(3):272–276. doi:10.1001/archotol.1935.00640020282003
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