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September 1941


Arch Otolaryngol. 1941;34(3):603-641. doi:10.1001/archotol.1941.00660040643017

SURGICAL THERAPY  General Considerations.—Brown98 covers a great deal of territory in brief and simple terms, with much common sense and conservatism. He epitomizes observations after long experience, and his suggestions are worth while. He emphasizes several important rules that may well be kept in mind. 1. Carefully appraise the patient's general condition for etiologic factors. 2. Refrain from surgical measures in acute stages of sinusitis except when the severity of the condition or impending complications make intervention imperative, and then establish drainage with the least possible trauma. 3. Conserve the nasal mucosa whenever possible. 4. "Early recognition of serious complications with the proper treatment is imperative." 5. Make sure in all cases that the drainage provided is adequate.Griffith99 believes that in cases of chronic sinusitis in which surgical intervention is required an external approach is the better, with thorough removal of all diseased membrane. He likes the Caldwell-Luc, Ferris

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