the ethmoid can be reached effectively. If the operation is undertaken with the patient lying on the operating table, where the shock is very much diminished, it is usually feasible to correct the septum and complete the operation on the laby¬ rinth at one sitting. The other suggestion by Dr. Welty, that the relief accomplished by an intranasal operation on the accessory sinuses can be got just as well from simple irriga¬ tion, I am not willing to accept. I would be almost willing to take the stand that any accessory sinus condition which can be cured by irrigation will get well spontaneously if left alone, with only the usual application of epinephrin or cocain applied under the middle turbinated body to facilitate temporary drainage. It is only, as a rule, the chronic form of accessorysinus disease where an operation is called for, and in these cases irrigation alone is usually of very little value. Dr. Samuel Iglauer, Cincinnati : I have not tried the method Dr. Clift mentioned, although I found some reference to it in the literature. The objection stated in the literature is that the patient cannot control the soft palate and possibly not the tongue while the picture is being taken and therefore there is some danger of the film being moved during the exposure. This difficulty may, perhaps, be overcome by cocain or by a rapid roentgenogram. The film in the mouth method was suggested by Scheier some years ago but nothing seemed to come of it. If this method proves successful it will be better than the method I presented this morning. If it is not successful the oblique metho<¿ will remain the best. Dr. Beck is inclined to question the value of the latter method. If he willjook at the plates perhaps he will change his mind, since it is difficult to show details in lantern slides. I am convinced that one can tell whether the anterior or posterior group of cells is involved. I think that is valuable. There is one trouble with a patient who has recovered from an ethmoiditis or sphenoiditis, that the recovered cells may still

No abstract

No abstract

No abstract

No abstract