. A manual of diseases of the nose and throat. of head, showing resection of anterior third of middle turbinate,and a frontal sinus canula with proper curve in situ. (Authors specimen.)Two-thirds normal size. after a cure has been thought to be complete. In en-larged sinuses, with multiple septa, orbital recesses, andbadly thickened mucous membrane, the above methodof treatment may afford temporary relief, but is apt tonecessitate continual treatment on the part of the CHRONIC DISEASES OF THE FRONTAL SINUS. 241 patient or the physician. In such cases the radicaloperation about to be described
. A manual of diseases of the nose and throat. of head, showing resection of anterior third of middle turbinate,and a frontal sinus canula with proper curve in situ. (Authors specimen.)Two-thirds normal size. after a cure has been thought to be complete. In en-larged sinuses, with multiple septa, orbital recesses, andbadly thickened mucous membrane, the above methodof treatment may afford temporary relief, but is apt tonecessitate continual treatment on the part of the CHRONIC DISEASES OF THE FRONTAL SINUS. 241 patient or the physician. In such cases the radicaloperation about to be described is the one that theauthor has used with practically unfailing success. Radical Operation. The patient is anaesthetized,and the skin of the forehead, eyebrows, and upper por-tion of the face sterilized. An incision is then madethrough the middle of the unshaved eyebrow, beginningat the nasal end and extending outward to the externalangular process of the orbit. The incision should bemade through the skin and muscular tissue down to theFig. Frontal sinus canula. periosteum. The periosteum is then incised a quarterof an inch above and parallel to the supra-orbital periosteum is pushed upward as far as may benecessary, and downward to the edge of the orbitalarch. All bloodvessels, frequently quite numerous,are caught, tied, and the clamps removed before pro-ceeding further. With a Killian -shaped chisel agroove is cut in the anterior wall of the frontal sinus, asixteenth of an inch above and parallel to the orbitalarch. With a gouge the anterior wall of the frontalsinus is now renio^jsd-do^njo the groove just particle of the anterior wall of the frontal sinus should be removed above this line, so as to expose thew 242 DISEASES OF ACCESSORY SINUSES OF NOSE. entire cavity with all its recesses. The mucous mem-brane lining the cavity is removed with the authorscurettes (Fig. 67), the inucou£ the naso_-jmntal duct being removed last. All the
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Keywords: ., bookcentury1900, bookdecade1900, bookpublisherne, booksubjectnose
