Abstract
Articles on the operative treatment of chronic suppurative sinusitis are usually so padded with oft repeated historical data and so filled with axiomatic generalities that the reader is left bewildered as to what procedures the writers actually rely on. In this paper I shall not give a historical resume. I shall not quote from authority. I shall state and attempt to defend my present convictions concerning the treatment in chronic suppurative sinusitis and relate the disappointments and failures which led to my convictions. I shall criticize this and other methods from the standpoint of the rhinologist in private practice. I shall summarize the results of my present operative procedure. For brevity, I shall use the term antrum synonymously with maxillary sinus. An operation is not considered unless suppuration continues after a reasonable course of irrigation. The special micro-organisms present do not seem to have any bearing on healing before or
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