Abstract

Much more could be quoted, but space prevents. We may therefore conclude: 1. 1. That there exists at birth all of the accessory sinuses more or less well developed, with the ethmoid group well developed and the mastoid structure in the form of a mastoid antrum. All of these structures communicate directly with adjacent cavities. 2. 2. That when the principal cavities, namely the nasal passage and the middle ear, are infected, the accessory sinuses and the mastoid antrum are likewise infected. 3. 3. That any one of these cavities may become a focus or infection, the symptoms of which are remote from the situation of the focus. 4. 4. That the symptoms which are a result of the existence of these foci may be relieved only by the recognition of, and the removal of the focus. 5. 5. As these foci frequently produce no symptoms referable to the focus they can only be excluded by a careful comprehensive examination of these parts.

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