The clinical symptoms and examination may be sufficient to permit a diagnosis of cancer of the accessory sinuses, but generally when these symptoms are sufficiently clear the disease is far advanced and hopeless. Early diagnosis and thorough skilful treatment at the beginning are essential for progress. Generally speaking, the diagnosis is made late, and the results obtained by every form of treatment have been discouraging. Generally, it is advisable to combine the information obtained by taking a careful history, performing a careful physical examination and making a careful study with the roentgen rays. It should be the aim of radiologists to obtain the greatest possible amount of detail in roentgenograms taken at various angles that will best show soft tissue effects and yet include bone detail. An ordinary posteroanterior view, including the whole head, and a lateral view made by means of the Potter-Bucky diaphragm are always essential but are
PFAHLER GE, VASTINE JH. ROENTGEN DIAGNOSIS OF CANCER OF THE ACCESSORY SINUSES. Arch Otolaryngol. 1940;31(4):561–587. doi:10.1001/archotol.1940.00660010566001
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