A STRIKING impression gained from a broad survey of present day literature pertaining to the management of chronic sinus disease indicates that efficacy is materially lessened by a lack of clearcut agreement and mutual understanding among many of those who are considered authoritative on this subject. While there can be no question as to the value of medical treatment as an adjunct to surgical in chronic disease of the sinuses, certain of the older practices, such as nasal suction, use of tampons and irrigation, can serve only as palliative measures. At the same time many who have become enthusiastic on the subject of nonsurgical treatment have clouded the issue by advocating pseudo-surgical practices, including physical and chemical therapy, that are of questionable value and claiming results that cannot be verified by clinical evidence.
This has been far from helpful to the somewhat isolated practitioners of medicine or surgery, who frequently
GATEWOOD WL. IMPROVED SURGICAL TECHNIC BASED ON MODIFICATIONS OF JANSEN-RITTER (LYNCH) AND CALDWELL-LUC PROCEDURES FOR CHRONIC SINUSITIS. Arch Otolaryngol. 1947;45(1):14–39. doi:10.1001/archotol.1947.00690010021002
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