Some trends in the American and Western European history and literature of sinus surgery for infection are summarized. Maxillary sinus surgery was first limited to drainage; subsequently radical surgery became very popular. With modern antibiotics and antiallergic management and better understanding of respiratory physiology, the indications for radical surgery have been reduced. The dangers of ethmoid surgery have been recognized for a long time. The popularity of the frontal osteoplastic operation is due to the poor results of the other techniques. The introduction of the Hopkins scopes and the functional concept in sinus surgery allow an increasingly popular conservative surgical approach to sinus infection.
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