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November 1958

Frontal Sinusitis

AMA Arch Otolaryngol. 1958;68(5):542-546. doi:10.1001/archotol.1958.00730020564002

This is a preliminary survey, in clinical perspective, of 200 external operations for frontal sinusitis carried out between 1927 and the present date, with illustrations from recent cases.

Cases tended to come before one whenever infections were prevalent; it was the aftermath of an epidemic of Asian influenza which prompted this contribution. After such sequelae there was generally a long gap before the next batch of cases. The annual incidence in the West Riding is about 7 per 100,000 of the community.

After the introduction of chemotherapy and antibiotics, fewer cases called for operation and more survived. This influence would be greater were it not for predisposing factors in etiology which could generally be discerned, consisting either of anatomic obstruction of the infundibulum by developmental deviations or pathologic blockage by subjacent polypoid degeneration.

Infection was manifestly air-borne rather than blood-borne. In recent years, sensitivity to antibiotics was studied in every

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