. The science and practice of dental surgery. fair and reasonable chanceof rapid cure ? This question can be readilyand honestly answered in theaffirmative if, in addition toappropriate dental treatment, thepatient will consent to an opera-tion lasting for a few minuteslonger than the short time requiredfor alveolar puncture. The procedure involves theestablishment of a large perma-nent opening in the inner wall,the lower circumference of theopening being level with the floorof the diseased sinus. Oj)eration. — Under generalanaesthesia the anterior two-thirds of the inferior turbinal isremoved
. The science and practice of dental surgery. fair and reasonable chanceof rapid cure ? This question can be readilyand honestly answered in theaffirmative if, in addition toappropriate dental treatment, thepatient will consent to an opera-tion lasting for a few minuteslonger than the short time requiredfor alveolar puncture. The procedure involves theestablishment of a large perma-nent opening in the inner wall,the lower circumference of theopening being level with the floorof the diseased sinus. Oj)eration. — Under generalanaesthesia the anterior two-thirds of the inferior turbinal isremoved by means of scissors andcold wire snare, so that the inneror nasal wall of the sinus is ex-posed (.see Figs. 912, 913). Bymeans of suitable forceps, burrsor curved knives, an opening at least the size ofa sixpence is made in the inner wall, and especialcare must be taken that its lowest level is flushwith the floor of the smus (see Fig. 914). If wellexecuted this operation establishes free per-manent drainage, which alone wdll suffice to. Fig. 913.—H. Tilley : Diseases of Throat and Nose. (H. K. Lewis.) induce the chronically inflamed mucous mem-brane to return to its normal condition. Noafter treatment will be necessary beyond irri-gating the nasal cavity twice daily with awarm alkaline lotion for a fortnight or threeweeks. 685 The large majority of chronic empyematamay be cured in this way. Occasionally, how-ever, when the nasal passages are so narrowedby septal or other obstructions that free accessto the inner wall of the sinus camiot be gained,or «hen mucous membrane hypertrophies or
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectdentistry, bookyear19
