The evaluation of any surgical procedure depends on the degree of comfort afforded those operated on and the length of time this benefit endures. The comfort of the patient following surgical operation on the sinuses is in proportion to his freedom from headache, his ability to breathe through his nose, the reduction of postnasal discharge and the nonrecurrence of the polyps. That these results have not usually been achieved has caused a tendency in some medical circles and among the laity to depreciate all forms of surgical treatment of the sinuses.
It is the duty of the rhinologist to correct this impression. I believe that failure to achieve the results expected is due to four main causes: (1) ill advised attempts by those not qualified to perform this type of surgical operation, (2) incomplete removal of pathologic tissue by those qualified, (3) uncontrolled allergy and (4) inadequate postoperative care.
DIXON FW. CLINICAL RESULTS IN PATIENTS TREATED BY INTRANASAL ETHMOIDECTOMY. Arch Otolaryngol. 1946;43(1):59–62. doi:10.1001/archotol.1946.00680050069010
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