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February 1948


Arch Otolaryngol. 1948;47(2):189-225. doi:10.1001/archotol.1948.00690030198013

SURGICAL TREATMENT  MOSHER82 reviews his experience with surgical treatment of the frontal sinus over a considerable period and offers some constructive observations. He still adheres to the aphorism "respect the virginity of the nasofrontal duct or take the consequences," which he coined some years ago, and points out the failures which have been so widely registered as a result of violating this dictum. The experiments of Walsh in this connection add weight to the clinical evidence that after ruthless destruction of this passageway neither skin graft nor mucosal flap restores its patency sufficiently to insure permanency.Mosher adds his approval to those who have been advocating the trephine opening of the floor of the sinus in severe acute disease in which the duct becomes completely occluded and the symptoms suggest the likelihood of a progressive infection with the possibility of impending complications.The various radical procedures come in for critical

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