The catarrhal and suppurative diseases of the accessory sinuses of the nose

Front matter

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Preface To Second Edition

_ Ir is with no small sense of gratification, when one compiles a work, to note that his colleagues have placed their approval upon his efforts. This treatise was printed to supply a work on the sinuses of the nose in the English language, but it was not anticipated that the first edition would so speedily become exhausted. In the interim, however, much has intervened, many corrections had to be made and nota little new matter to become incorporated. The greater part of the changes consist of amplification, of which the most important are the following:

The treatment of sinus disease in children; the use of the nasopharyngoscope in diagnosis of obscure conditions in the posterior ethmoid and sphenoid region; the diagnostic needle puncture of the maxillary sinus more fully explained, with possible dangers and how to avoid them; Canfield’s operation on the maxillary sinus compared with the preturbinal method, with instructions for and illustrations of both the immediate and ultimate effects of operations on the sinuses; a compilation of the American mortalities following the Killian operation on the frontal sinus; complete revision of the chapter on the sphenoid sinus, with dé&cription and illustrations of Halle’s new operation; a chapter on combined empyema or multiple’ sinusitis, ete. In addition to this, the entire work has undergone a systematic revision. Certain statements which seemed obscure have been rearranged and amplified with especial reference to their clarity.

Considerable attention has been given to that phase of the treatment which deals with the judgment of the attending surgeon as to what procedures shall be followed under different circumstances, such as the proper moment to operate and what form of operation is indicated. This is especially discussed in connection with the maxillary and frontal sinuses.

The after-treatment of sinuses upon which an operation has been performed, a subject which has hitherto been almost neglected, is also thoroughly discussed, with measures to meet any untoward complication that may arise.

I am especially indebted to my friend and classmate, George iii iv PREFACE TO SECOND EDITION

Morrison Coates, M.D., for his thorough review and correction of © the initial work, as well as for his many wise suggestions for the betterrnent of this edition.

In conclusion, I wish to express my appreciation for the friendly manner in which the work has been received by my colleagues, and especially to those reviewers who in their kindness have possibly permitted their friendship to prejudice their better judgment (Am. Jour. Med. Sciences, Interstate Med. Jour., Central. fir Laryngologie).

Preface

Durine courses of teaching the treatment of accessory sinus diseases very frequently students have made inquiry regarding the proper handbook to aid their studies in this direction.

In the German language Hajek and Zarnico would instantly rise to the minds of the well-equipped teacher as admirable works, both from the viewpoint of scientific accuracy and that of practical application.

In the French language Luc, and Sieur and Jacob, have contributed works of decided merit.

In the English language Logan Turner has displayed a commendable spirit of research and has collected much valuable information of a general character, but it cannot be claimed that his work is adaptable as a general text book.

Several excellent works of American and English authors, embracing the Nose, Throat and Ear as a whole, have appeared, but their general scope has not permitted the consideration in minute detail of nasal accessory sinus disease.

To set forth in the English language a thorough and exclusive treatment of this subject has been the inspiration of this work. It will be noted that repetitions occur in several places. These have been intentional, not only to thoroughly impress these parts on the mind of the student, but to obviate the necessity of continually referring to other portions.

Extensive references have been made and every effort has been exerted to give credit where it belongs, nevertheless errors of omission and commission must necessarily have crept into a book of this description. I trust that my American colleagues will apprise me of any such that may come under their notice. In collaboration of this work I have been ably assisted by Messrs. E. F. and Ludwig Faber, Erwin Faber making the anatomical illustrations and Ludwig Faber the operations. Several of the rarer anomalies have been drawn from specimens prepared by Dr. M. H. Cryer and kindly loaned to me for this purpose. I am also greatly indebted to George F. Martin, M.A., for his painstaking and thorough correction and in many instances revision of the manuscript.

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