MANAGEMENT OF CHRONIC SINUS DISEASE: CHRONIC MAXILLARY SINUSITIS

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Abstract
IF ACCURATE statistics were available, they would undoubtedly reveal that acute or chronic maxillary sinusitis—and this should apply to infections in the other sinuses as well—is less frequently encountered at present by specialists in rhinology than it was prior to the advent of the sulfonamides and the antibiotics. This decrease seems to be most marked in the incidence of maxillary sinusitis, in which the initial cause is purely one of infection with pyogenic organisms. It is part of the improved control of respiratory tract infections in general. The severe upper respiratory tract infections accompanying the exanthemata, particularly scarlet fever and measles, or the generalized purely respiratory infections complicated by pneumonic suppuration are now less frequently encountered. These often left a sinus suppuration in their wake. The ethmoids and the antra were the sinuses that were most frequently involved. This decrease is less marked in the instances of maxillary sinusitis in

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