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May 1942

Surgical Treatment of Ethmofrontal Sinusitus by Means of an Osteoplastic Method.

Arch Otolaryngol. 1942;35(5):842-843. doi:10.1001/archotol.1942.00670010849022

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Bergara reviews the various factors favoring chronicity of frontal sinusitis. He cites Lenhart in discussing the factor of size of the frontal sinus in its relation to chronicity of infection and states that in a sinus having a small transverse diameter, i. e., less than 18 mm., there is rarely opportunity for stasis of secretion. When the diameter of the sinus varied from 18 to 30 mm. stasis occurred in 23 per cent of his cases. Finally, when the diameter of the sinus was greater than 30 mm. stasis occurred in 86 per cent.

Bergara states that surgical intervention should be confined to the endonasal route as a first consideration. This is true whether the sinus is large or small. Furthermore, cure is frequently established by this method in a great many cases; a profuse discharge is often diminished to such an extent that it is of no discomfort to

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