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November 1951


Author Affiliations


AMA Arch Otolaryngol. 1951;54(5):510-517. doi:10.1001/archotol.1951.03750110046007

THE RARITY of spontaneous hemorrhage from within the maxillary sinus is revealed upon a search of the available literature, in which 23 such instances have been reported. The first was reported by Bass1 in 1927. He later combined the report of this first case with three others in 1936.2 In all these cases there was unilateral epistaxis with blood coming from the middle meatus and the involved sinuses were dark on transillumination and opaque on roentgentologic examination. Puncture and lavage yielded fresh and old clotted blood. In two cases Caldwell-Luc operations were performed, and revealed degenerated polypoid membrane. In the other two cases control was accomplished by repeated irrigations followed by the topical instillation of brain extract (thromboplastin local®). In three cases the patients were men and in one the patient was a woman. The left sinus was involved in three and the right in one. The

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