THE TREATMENT OF ACUTE AND CHRONIC SINUSITIS

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Abstract
The treatment of sinusitis cannot be prescribed in hard and fast rules. Individualism in therapy is as essential here as in any other branch of medicine. The following general rules are given but may be adjusted to the individual needs of the patient: THE GENERAL TREATMENT OF ACUTE PANSINUSITIS In acute pansinusitis the patient should be kept in bed in a room with a warm even temperature day and night. Nasal shrinkage should be accomplished with either ephedrine or neosynephrine in warm physiologic solution of sodium chloride. The spray should be repeated in from ten to fifteen minutes in order to reach the superior nasal regions. In fulminating cases with threatening orbital complications, cocaine or epinephrine may have to be used. Even though the secondary reaction from the use of these drugs may be marked, the added shrinkage obtained may cause the offending sinus to evacuate itself and prevent complications.

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