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Hernandez presents a splendid monograph on the problem of surgical treatment of chronic pansinusitis. He describes the anatomy and the variations from the normal that are commonly encountered. He has a short chapter on physiopathology and then in great detail describes his technique. It is primarily a modification of the technique advocated by Emiro de Lima. Each stage of the operation is clearly described with clear-cut illustrations, which are self-explanatory. He also discusses the various dangers and untoward accidents that may occur during the course of the procedure. He believes that this procedure has produced a greater percentage of cures in chronic pansinusitis than any other operative procedure.
This is an extremely interesting, well-written monograph and well worth the time for those who can read Spanish.