Læknablaðið - 01.04.1953, Blaðsíða 32

122
LÆKN ABLAÐIÐ
3 sæmilegar. Þess ber þó að
gæta, að þær kj.holur, sem ég
gerði Luc-Caldw.aðg. á, eru
þær, sem ekki læknuðust þrátt
fyrir gott frárennsli, með öðr-
um orðum þær erfiðustu, vald-
ar úr fjölmörgum.
Með því að gera fyrst Claoués-
aðg. er þannig hægt að velja
úr þær holur, sem raunveru-
lega þarfnast rad.aðgerðar og
þá er vissa fengin fyrir því, að
slímhúðin getur ekki jafnað
sig á nokkrum vikum eða mán-
uðum, þrátt fyrir vítt frárennsl-
isop. Á þann liátt má oft kom-
ast lijá því að fórna slímhúð-
inni að óþörfu.
f fáum orðum sagt, er þá
árangurinn af þessum 95
Claouésaðgerðum þessi: í 76%
ágætur, 7% sæmilegur, 17% lé-
legur.
Með öðrum orðum góður á-
rangur í 83%.
Summary.
The main causes and symp-
tomatology of sinusitis maxill-
aris are described.
As the symptoms from the
sinus itself frequently are very
vague, tlie writer recommends,
as a general rule, to make a
diaphanoscopy (transillumin-
ation) of tlie sinuses on every
new patient with oto-rhino-
laryngological complaints and
aiso on those with oesofago-
gastric- or bronchial disorders,
headache or general malaise.
In cases suspective of sinu-
sitis a roentgenogram should
be made or a proofpuncture of
tbe sinus performed.
As to the treatment, the
litterature seems to indicate
tliat a general medication with
sulfa or penicillin is usually
ineffective in uncomplicated
cases, likewise tbe topical
application of sulfa in the sin-
us after lavage, but some eff-
ect can be expected from peni-
cillin injected inlo the sinus, in
doses not less than 150—200.000
units. Some chronic cases also
seem to respond well to this
treatment. The writers own
experience confirms tliis too.
As vet, little has been written
about tbe effect of the newer
antibiotics on sinusitis.
The chief metliods of operat-
ing upon the maxillary sinus
are shortlv mentioned i. e. tlie
radical operation a. m. Luc-
Caldwell and Denker and tbe
antrostomy or antral window
operation a. m. Claoué.
Tbe writer gives a brief ac-
count of bis own results of
95 antrostomies a. m. Claoué,
which he observed for a period
of 6 months to 6 years posto-
peratively. Included in this
number are 17 acute cases. All
of tbem proved to be cured.
Of the remaining 78 chronic
sinuses on whom antrostomv
was done 55 were completelv
cured, 7 greatly improved, but