In the following remarks it is urged that wider use be made of the intranasal operation on the antrum, a procedure surprisingly lacking in popularity, considering its many advantages over the radical operation.
It is agreed generally that intranasal surgical intervention succeeds in most cases of surgical disease of the frontal, ethmoid and sphenoid sinuses. In the case of the maxillary antrum, however, the trend still seems to be in favor of radical measures, in spite of the fact that it has been nearly thirty years since Canfield1 described the intranasal operation.
The proper selection of treatment for maxillary sinusitis depends on the knowledge and experience of the otolaryngologist. When surgical intervention is necessary, it should be as conservative as is consistent with a cure of the disease.
In certain types of antrum it is desirable to obtain the greater exposure afforded by transoral operation, and in these the Caldwell-Luc