A method of maintaining a patent nasofrontal duct by the use of polyethylene tubing is presented. This technique is of value for patients with mucoceles of the frontal sinus and may be of aid for persons with chronic frontal sinusitis, provided surgery as advocated by Boyden1 has first been used. Also presented in this report is a modification in handling a nasoantrostomy by using a similar procedure.
Various materials have been advocated, tried, and found wanting for maintaining a patent nasofrontal duct. These have included skin2 and mucous membrane,3 rubber,4 acrylic substances,5 gold,6 and tantalum.7 Factors which have limited the use of these substances have been availability, irritation, malleability, and cost. A chemical substance which has none of the various objectionable features of previously tested materials has been found in polyethylene (polythene).
The first reports of this new substance were presented by Ingraham,
JOHNSON F. USE OF POLYETHYLENE TUBING IN NASAL SINUS SURGERY. AMA Arch Otolaryngol. 1953;57(6):683–685. doi:10.1001/archotol.1953.00710030707011
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