A PROCEDURE FOR INSTILLING PENICILLIN INTO THE ANTRUM
- 1 May 1947
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA Otolaryngology–Head & Neck Surgery
- Vol. 45 (5) , 593
- https://doi.org/10.1001/archotol.1947.00690010607009
Abstract
THEN penicillin became available for clinical use, it appeared logical in cases of acute and subacute maxillary sinusitis to puncture the antrum for diagnosis, culture of contents, irrigation and local instillation of penicillin. Sale and Diamond,1 in 1944, reported that they had used penicillin in the treatment of chronic suppurative maxillary sinusitis. Their technic was to leave spinal puncture needles in situ and instil penicillin every three hours for twenty-four hours. After following this method in several cases Dr. Graham Asher suggested that tubing could be used instead of a needle. It was felt that a tube, being flexible, would be more comfortable for the patient, because there would be no pressure on the vestibule, no danger of the needle's perforating the orbital plate on being struck during sleep or on some unthinking sudden move of the patient, and particularly no psychic trauma of the patient through having two long,Keywords
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