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June 1955

Present State of the Surgical Treatment of Chronic Frontal Sinusitis

Author Affiliations

Buenos Aires, Argentina

AMA Arch Otolaryngol. 1955;61(6):616-628. doi:10.1001/archotol.1955.00720020634002

PREFACE  Chronic frontal sinusitis has been the subject of deep concern among physicians, so much so that a French professor has called it "the nightmare of the specialists."Notwithstanding the antibiotics, surgery still plays an important part in the treatment of the infections of the paranasal cavities, and this is due to the fact that when acute inflammation has become chronic antibiotics are not effective.The most important reason why an acute sinusitis becomes chronic is retention. Retention can be caused by something outside the sinus region, such as a deviation of the nasal septum, hypertrophy of the middle turbinate, nasal polyposis, and constriction of the nasofrontal duct. It can also be caused by something within the sinus, and among the latter causes one of the most important is the size of the sinus. Large sinuses very frequently show deep diverticula, partial partition, and retention cells.The surgeon can act

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