. The Journal of laryngology and otology. he has entered the sinus he further burrs down the nasalcrest with a blunt-pointed drill. In Halles hands this method doesnot appear to have been attended with any untoward result, andhe states it has always, when successful, made a very free entranceinto the frontal sinus. 1 Trans. Roy, Soc, June, 1911, p. 5. May, 1914.] Rhinology, and Otology. 229 Segurai has long advocated the intranasal operation, which hefirst performed early in 1905. His special instruments consist ofa series of cutting sounds of different curve and thickness, flexiblecurettes wh
. The Journal of laryngology and otology. he has entered the sinus he further burrs down the nasalcrest with a blunt-pointed drill. In Halles hands this method doesnot appear to have been attended with any untoward result, andhe states it has always, when successful, made a very free entranceinto the frontal sinus. 1 Trans. Roy, Soc, June, 1911, p. 5. May, 1914.] Rhinology, and Otology. 229 Segurai has long advocated the intranasal operation, which hefirst performed early in 1905. His special instruments consist ofa series of cutting sounds of different curve and thickness, flexiblecurettes which have their cutting edges in different directions,forwards, backwards, right and left. The cutting sounds arepassed up the nasal duct, after previous removal of the anteriorend of the middle turbinal, and, having been entered as far as theywill readily go, they are pulled forward as they are withdrawn soas to curette away the fronto-ethmoidal cells and the nasal the fronto-nasal passage has been freed as much as possible,. Fig. 2.—Two of Seguras raspatories and his three curettes, anterior, posteriorand lateral, the other lateral curette being the same reversed. the operation is finished by means of the cutting curettes, which further enlarge the canal in all directions, great care being taken when using the back-cutting curette. Segura states that he has operated in a large number of cases with uniformly good results, and in no case was there untoward result. Others have used similar methods, notably Vacher and also Sullivan, who some few years ago used cutting sounds made safer by having a smooth posterior border very similar to those designed this year and shown at the last meeting of this Section by Mr. 1 The Treatment of Chronic Frontal Sinusitis by the Intra-Xasal Eoute ;read August, 1909, at the Latin American Congress; published in La , May 23, 1912. 230 The Journal of Laryngology, [May, 1914. Tilley and by myself (in the skiagiam of a pati
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Keywords: ., bo, bookcentury1800, booksubjectear, booksubjectnose, bookyear1887
