Irrigation of the antrum through either the inferior or the middle meatus is probably done much more often than all other operative procedures on the nose. It seems to me that it is of no great importance whether the antrum is washed through the inferior or the middle meatus, but that of more importance is with how much care the irrigation is performed. Harm may be done by either approach, but if proper attention is given practically no complications from either method should be encountered.
If for any reason the antrum does not permit irrigation after puncture with only slight pressure, the procedure should be abandoned for at least twenty-four hours, when as a rule the normal irrigation can be made. The mucous membrane of the antrum may be edematous or polypoid, and in twenty-four hours this condition usually is corrected to such an extent that the irrigation can be
SIMPSON WL. SURGICAL TREATMENT AND ITS COMPLICATIONS IN CASES OF ACUTE SINUSITIS. Arch Otolaryngol. 1940;32(2):250–255. doi:10.1001/archotol.1940.00660020253004
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: