. The Journal of laryngology and otology. oor of the sinus at a point corresponding to the medial part ofthe nasal crest ot^ the frontal bone, ^. e. internal to the attachmentof the middle turbinal plate. To reach this he introduced a stiifmetal sound 2 mm. thick, or a stiff steel spoon-ended sound, passingit up between the middle turbinal and the septum along the posteriorsurface of the saddle of the nose, where it was made to pierce thefrontal sinus floor. He then curetted the sinus Avith the spoon-endas far as he could reach and touched the exposed area with 5 percent, chromic acid. He oper
. The Journal of laryngology and otology. oor of the sinus at a point corresponding to the medial part ofthe nasal crest ot^ the frontal bone, ^. e. internal to the attachmentof the middle turbinal plate. To reach this he introduced a stiifmetal sound 2 mm. thick, or a stiff steel spoon-ended sound, passingit up between the middle turbinal and the septum along the posteriorsurface of the saddle of the nose, where it was made to pierce thefrontal sinus floor. He then curetted the sinus Avith the spoon-endas far as he could reach and touched the exposed area with 5 percent, chromic acid. He operated in this way twenty-six timeswithout mishap. Schaffer was followed by Winckler, who employeda straight sound, and by Lichtwitz,^ who used a straight penetrator,1^ mm. thick, and the latter reported successful penetration in threecases and failure in seven, after which he abandoned the procedure. Deuisch. med. IFoch., 1890. 2 Miinch. vied. Woch., 1892. 3 Therap. Monatsch., 1893. JOURNAL OF LAEYXGOLOGY, RHIXOLOGY, AXD OTOLOGY. PLATE nn «liow the initial point of entry in the intranasal frontal siniis operation Ihe small spheuo-ethmoidal forceps are seen cutting the point of attachment ofthe middle turbmal to the outer nasal wall, thus entering the fronto-ethmoidal
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Keywords: ., bo, bookcentury1800, booksubjectear, booksubjectnose, bookyear1887
