Transactions of the Section on Laryngology and Otology of the American Medical Association

Transactions of the Section on Laryngology and Otology of the American Medical Association

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1913 edition. Excerpt: ...on a healthy sinus is productive of more bad results than operation on the diseased sinus. I have under observation at present patients whose healthy sinuses have been operated on and whose condition is unsatisfactory; indeed, a great deal worse than before the sinuses were interfered with. Indiscriminate exploration of the accessory sinuses without special indication and in the absence of corroborative Roentgen-ray and transillumination findings is to be deplored. Although there is no argument but that orbital suppuration and infection of the uveal tract are generally due to extension of disease from the accessory sinuses, trustworthy evidence to the effect that optic atrophy or glaucoma is dependent on sinus disease is, so far as I know, lacking. I do not believe that the sinus involvement can be determined by the character of the muscle insufficiency in view of the fact that some tremendous change in both sinuses and orbit does occur without the occurrence of any muscle anomaly. While I firmly believe in the occurrence of fundus lesions as the result of sinus disease, even as the result of so-called cryptic sinus disease, I am strongly of the opinion that operative exploration of the sinuses should be undertaken only after the most exhaustive and repeated clinical and laboratory examinations have been made. In this connection we must bear in mind that the orbit and its contents may become involved not only as the result of direct extension, but also as the result of toxemia or sepsis caused by the accessory sinus disease. The importance of this last group of cases must not be overlooked. In case exploration is decided on, it should be made in the most conservative manner possible until the extent of the sinus involvement has been...
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Product details

  • Paperback | 72 pages
  • 189 x 246 x 4mm | 145g
  • United States
  • English
  • black & white illustrations
  • 1236789644
  • 9781236789648