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October 1941


Arch Otolaryngol. 1941;34(4):792-796. doi:10.1001/archotol.1941.00660040848011

Sinusitis is a frequent complication of bronchiectasis. Its prevalence varies with the experience of different observers, but I think all agree that it occurs sufficiently often to constitute an essential part of the picture of bronchiectasis. The purpose of this paper is to present some observations on the surgical management of cases in which operation is indicated and to outline briefly the points to be considered in other cases in which operation is inadvisable.

Recently, I had an opportunity to survey 150 cases of bronchectasis at the pulmonary clinic of the Massachusetts General Hospital and to evaluate the effect of surgical intervention both on the symptoms and on the economic effectiveness of the patients. The following observations are drawn from a study of these cases. Over 90 per cent of the patients had sinusitis in some degree.

Patients with sinusitis may be classified according to the severity of this complication