副鼻腔炎の研究の資料

　序言

　この論文は昭和37年10月8日に長野市に開かれた第1回鼻副鼻腔炎研究会の招待講演の内容に，さらに筆を加えたものである。

　一般に行われている種々の副鼻腔炎手術法の分類を，私は今まで上顎経由法，鼻内法，鼻外法，綜合法としていたが，病的粘膜の処置の点から次のように分類してみた。

Operative treatments of poly- and pan-sin-usitis are discussed by differentiating the methods into those which effect a complete denudation of the pathological sinus mucous membrane and in others in which the sinuses in part are given a simple opening and drai-nage. Each method in considered and comme-nted and its advantages as well as disadvan-tages are discussed. Attention is given to De Lima's transmaxillary polysinusectomy and Tato's frontal sinus operation in which the lat-ter effects filling of the sinus cavity with fatty tissues. These methods could hardly be. adopted as a general measure excepting in special cases where such a procedure may be called for. This is also true in considering Ogino's perfrontal sinusectomy though he had. made a great contribution;it is far from ap-plicability in all operative cases. The author further discusses the problem of aftercare fo-llowing the operation, chemotherapy and the relation of the individual's general physical co-ndition that may lead to sinusitis.