Sinus surgery can, by ventilation and drainage, assist in curing infection. It does nothing to cure atopy or vasomotor rhinitis owing to autonomic dysfunction with cholinergic excess. Four etiologic factors may coexist in the same patient: 1) Infection with bacterial allergy; 2) Atopy (food or inhalant sensitivity); 3) Cholinergic vasomotor rhinitis and 4) Endocrine abnormality, notably poor adrenocortical function. Medical treatment must be continued after operation.
Get full access to this article
View all access options for this article.
References
1.
WilliamsHL: The relationship of allergy to chronic sinusitis. Ann Allergy24: 521–524, 1966.
2.
AshJERaumM: An Atlas of Otolaryngic Pathology.Am Acad of O & O, Am Registry of Path & Armed Forces Inst of Path, 1949, p. 131.
3.
WeilleFLGohdRS: The virus theory of nasal polyp etiology and its practical applications. Ann Otol, 65: 443–449, 1956.
4.
WeilleFL: Further experiments in the viral theory of nasal polyp etiology. Ann Allergy24: 549–551, 1966.
5.
WeilleFL: The effect of nasal and sinus surgery upon the manifestations of allergy. New Eng J Med242: 43–48, 1950.
6.
WeilleFL: The treatment of chronic vasomotor rhinitis. Med Clin N Amer39: 1439–1452, 1955.
7.
WeilleFL: The Evaluation of Treatment of Nasal Polyposis. Med Clin N Amer, Philadelphia, W. B. Saunders, 1958, p. 1283–1290.
8.
WeilleFL: A practical technique for intranasal ethmoidectomy and an evaluation of its usefulness. Laryngoscope69: 449–462, 1959.
9.
WeilleFL: Rhinological methods for controlling nasal polyposis and vasomotor rhinitis. Ann Otol74: 840–851, 1965.
DavisonFW: Hyperplastic sinusitis—a five year study. Ann Otol72: 462–474, 1963.
19.
RichAR: Hypersensitivity in Disease. The Harvey Lectures.Lancaster, Pa., Science Press Printing Co., 1947, p. 106–147.
20.
DavisonFW: Treatment of hyperplastic sinusitis. Ann Otol62: 412–422, 1953.
21.
DixonFW: A study of the clinical results of intranasla ethmoidectomy. Trans Am Laryng, Rhinol & Otol Soc p. 35–42, 1945.
22.
EichelBS: The intranasal ethmoidectomy procedure: historical technical and clinical considerations. Laryngoscope82: 1806–1821, 1972.
23.
SandersSH: Management of total nasal blockage by polyps of allergic and infectious origin. Trans Am Laryng Assn93: 73–84, 1972.
24.
DixonFW: The clinical significance of the anatomical arrangement of the paranasal sinuses. Trans Am Laryng Assn79: 211, 1958.
25.
Van AlyeaOE: Nasal Sinuses.Ed 2, Baltimore, The Williams and Wilkins Co., 1951.
26.
MontgomeryWW: Surgery of the Upper Respiratory System.Philadelphia, Lea and Febiger, 1971, Vol. 1, p. 40–52.
27.
SmithJMSmithIM: The Medical Treatment of Sinusitis. Otol Clin N Amer, Philadelphia, W. B. Saunders Co., Vol. 4, p. 39–55, 1971.
28.
NormanPSLichtensteinLM: Allergic Rhinitis: Clinical Course and Treatment in Immunological Diseases.Ed. 2; Samter, Ed., Boston, Little, Brown and Co.1971, Vol. 2, p. 840–855.
