. The Journal of laryngology and otology. iG. 1.—Skiagram showing 6 mm. thick roundbougie entering frontal sinus, but carried backso as to impinge against tabula interna becausethe nasal crest is thick. Fig. 2.—The same case, but .-huwing the 6 mm.(No. 19 French scale) boug-ie entering well intothe sinus after reduction of the nasal crest byburring. Skiagrams showing Watson-Williamss swan-head bougie, 8 mm. by 6 mm., entering the frontal sinus after removal of crista ITl ^^®°^ ^^^ ? Iateral view Fig. 4.—The same, antero-posterior aspect. The skiagram .sh.:.ws left frontal sinus and s
. The Journal of laryngology and otology. iG. 1.—Skiagram showing 6 mm. thick roundbougie entering frontal sinus, but carried backso as to impinge against tabula interna becausethe nasal crest is thick. Fig. 2.—The same case, but .-huwing the 6 mm.(No. 19 French scale) boug-ie entering well intothe sinus after reduction of the nasal crest byburring. Skiagrams showing Watson-Williamss swan-head bougie, 8 mm. by 6 mm., entering the frontal sinus after removal of crista ITl ^^®°^ ^^^ ? Iateral view Fig. 4.—The same, antero-posterior aspect. The skiagram .sh.:.ws left frontal sinus and swan-head the right sinus healthy, the left sinus containing the bougie al bougie. being diseased. (Skiagram reversed in To Illustrate De. P. Watson-Williajiss Paper ox Ixteaxasal Operation for Frontal Sinus Suppur.\tion. Adlard <5r= Son, liii/ir May, 1914.] Rhinology, and Otology. 285 requiring relief, which determine whether the crista nasalis shouldor should not be reduced. In the majority of my cases I have notfound it necessary to reduce the nasal by rasp or burr, thesimple removal of the ffonto-ethmoidal cells, and in some casesbiting off a thin projecting anterior inaiginof the ostium, affordingeasy passage to a 6 mm. or at least a 4 mm. thick bougie. Thisrelatively simple procedure one may term the partial operation,as compared with the complete intranasal operation, which involvesreduction of the crista nasalis by burring or other means.
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Keywords: ., bo, bookcentury1800, booksubjectear, booksubjectnose, bookyear1887
