Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ving been located, the opening is enlarged with the burr operatedby an engine, or it may be rasped out. The sinus should be irrigated withwarm salt solution. Some rhinologists place a tube in the sinus, fix it in thenose, and irrigate through it daily with warm boric solution. Care shouldbe taken not to penetrate the cribriform plate of the ethmoid. If the usual treatment of frontal sinus disease by suction and irrigationfail, a more radical operation may be done.
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ving been located, the opening is enlarged with the burr operatedby an engine, or it may be rasped out. The sinus should be irrigated withwarm salt solution. Some rhinologists place a tube in the sinus, fix it in thenose, and irrigate through it daily with warm boric solution. Care shouldbe taken not to penetrate the cribriform plate of the ethmoid. If the usual treatment of frontal sinus disease by suction and irrigationfail, a more radical operation may be done. The anterior end of the middleturbinate is cut off and the anterior ethmoidal cells cut away with bitingforceps (Fig. 864). The inner wall of the ethmoidal labyrinth should not 202 5 URGICA L TREA TMEN T be injured. The operation should keep close to the orbital wall, which shouldnot be penetrated. A curved curet, rasp, or forceps easily enters the frontalsinus (Fig. 865). For obliteration of the frontal sinus, the operation of Killian is performedasfollows: (a) An incision is carried from about the junction of the upper and. Fig. 864.—Nasal Approach to Frontal Sinus. The anterior end of the middle turbinate has been removed, and the forceps are cutting away the anterior ethmoidal cells. outer margins of the orbit inward along the upper margin to the root of thenose, lying wholly in the area of the eyebrow. The incision then passesdownward upon the nasal process of the superior maxilla, following themargin of the orbit, and curves outward to end below the inner canthus
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
