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February 1957

Acute Frontal Sinusitis: Complications and Treatment

AMA Arch Otolaryngol. 1957;65(2):105-110. doi:10.1001/archotol.1957.03830200001001

Acute frontal sinusitis is a medical and occasionally a surgical emergency. It is not a common involvement. It is not a disease to be treated with inadequate antibiotic therapy, sulfonamides, sedation, and the advice "come back tomorrow if you are not feeling better."

The patient develops a cold associated with fever, malaise, and head pain located over the involved sinus. It is this latter symptom which induces him to consult his family physician for advice and treatment. It is characteristic of acute frontal sinus pain to show definite periods of occurrence each day. The pain usually begins in the morning one or two hours after rising and increases in severity toward noon, and diminishes in the middle of the afternoon. Early in the disease the acute infection produces edema with thickening of the mucous membrane due to the extravasation of serum into the submucosal area. This mucous membrane may become