The significance of paranasal sinusitis as a local disease and its importance as a focus of infection in relation to a variety of systemic diseases are generally recognized. The pertinent problem at present is to discover the sinusitis when it exists, and this involves an evaluation of the evidences of infection as disclosed by the methods of investigation employed. Recognition of sinusitis is simple when there are local manifestations, but it is not generally understood that an infection of the paranasal sinuses may exist in the absence of local manifestations. Watson-Williams1 has written of such sinusitis as "latent or occult infections"; Harper2 has called this type of sinusitis "hidden infection," and Sohval and Som3 have used the term "masked sinusitis" in reporting cases of obscure fever. It seems best to consider these infections of the paranasal sinuses as silent so far as symptoms, local manifestations and apparent relation to systemic
GOLDMAN JL. PARANASAL SINUSITIS IN RELATION TO SYSTEMIC DISEASE, WITH SPECIAL REFERENCE TO DIAGNOSTIC LAVAGE. Arch Otolaryngol. 1941;33(5):830–840. doi:10.1001/archotol.1941.00660030840014
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