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Bowers84 offers a number of observations on the general problem of sinusitis and its treatment in an attempt to evaluate and reconcile conflicting statements and opinions. He feels that divergence of opinion as reflected in the literature may be ascribed to (1) differences in climate, which are responsible for different types of infection; (2) the type of practice, institutional, clinical or private; (3) the reputation of the author, and (4) the author's criteria of diagnosis and indications for operation. Bowers expresses the opinion that the Caldwell-Luc operation is necessary when constitutional symptoms are present, especially with reference to the tracheobronchial tree, and the roentgenographic and local evidence points to chronic involvement of the sinuses. In such cases he advises complete removal of every vestige of the mucosa, since it is impossible to determine the extent of involvement or the presence of infection by mere
SALINGER S. THE PARANASAL SINUSES. Arch Otolaryngol. 1943;38(4):373–396. doi:10.1001/archotol.1943.00670040387011
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