IRRIGATION IN THE TREATMENT OF DISEASE OF THE FRONTAL SINUS: ANATOMIC CLINICAL STUDY OF THE NASOFRONTAL CONNECTIONS

In the early eighties of the last century surgical treatment of the frontal sinus consisted merely of a trephine opening through the outer plate with subsequent drainage through the operative wound. In 1884, Ogston, 1 of Aberdeen, recognized the importance of maintaining a pathway of drainage through the nose. Failing in his endeavors to sound the sinus through the natural opening, he devised his classic external operation, which included enlargement of the ostium frontale. Since then many external and internal operations have been designed for treatment of disease of the frontal sinus. The various methods adopted range between the simple conservative and the extreme radical. The ability of the rhinologist to reach the sinus through the natural opening is important in the intranasal treatment. He may rarely feel the need of this procedure; the other methods of therapy may suffice. Nevertheless, a dependable technic for this maneuver is a valuable

[1]  H. Tilley.  The Nasal Accessory Sinuses , 1932, The Journal of Laryngology & Otology.

[2]  G. Shambaugh.  CLINICAL PROBLEMS OF RHINOLOGY , 1932 .

[3]  V. Fkuhwald.  Inflammation of the frontal sinus; its conservative and endonasal operative treatment , 1931 .

[4]  Frithiof Leegaard.  The Treatment of Inflammation in the Nasal Sinuses , 1931 .

[5]  H. Barwell.  The Present Treatment of Inflammation in the Maxillary Antrum and Frontal Sinus , 1929, The Journal of Laryngology & Otology.

[6]  R. H. Skillern.  XXI. History of the Sinuses , 1925 .

[7]  Jonathan Wright.  The modern history of accessory nasal sinus disease , 1913 .

[8]  H. P. Mosher.  A method of obliterating the naso‐frontal duct, and catheterizing the frontal sinus , 1911 .

[9]  R. Good.  An intranasal method for opening the frontal sinus establishing the largest possible drainage , 1908 .

[10]  M. Halle.  External or internal operation for suppuration of the accessory nasal sinuses , 1907 .

[11]  H. P. Mosher.  Inflammation of the Frontal Sinus , 1906 .

[12]  E. Ingals.  XXXII. New Operation and Instruments for Draining the Frontal Sinus , 1905 .

[13]  C. G. Coakley.  XXV. Frontal Sinusitis—Diagnosis, Treatment and Results , 1905 .

[14]  E. Ingals.  New operation and instruments for draining the frontal sinus , 1905 .

[15]  M. Mosher.  The applied anatomy of the frontal sinus , 1904 .

[16]  M. Hajek.  Pathologie und Therapie der entzündlichen Erkrankungen der Nebenhöhlen der Nase , 1903 .

[17]  W. Wells.  On sounding and irrigating the frontal sinus through the natural opening , 1901 .