The Trephine-Puncture Method in Diagnosis and Therapy of Diseases of the Frontal Sinuses

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Abstract
The new instrument described was used to perform 93 trephine punctures on 85 patients with various diseases of the frontal sinuses for diagnostic and therapeutic purposes both in hospitals and in out-patient departments. After trephine puncture before and after local treatment all the patients received contrast roentgenological examinations of the frontal sinuses with lipiodol. In 11 cases free sinuses were found, while the usual X-ray films showed them to be opaque. Sixty-two patients were treated by flushing of the frontal sinuses and local introduction of antibiotics (penicillin, streptomycin, furacillin) and other drugs through a cannula. Such treatment gave good results. Twelve patients, mainly with irreversible chronic diseases of the frontal sinuses, were operated on.
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