Abstract
Various methods of operation for atrophic rhinitis have been reported since Lautenschlaeger who had published his method in 1916. There is, however, no method which can result in perfect cure of the disease and yet has the clinical ease and conveniences. Particularly difficult is to decide the method of operation when rhinitis is complicated with sinusitis, because there lies a reverse relationship of effect between the operative treatments of these two diseases.
Therefore in operation of atrophic rhinitis which requires simultaneous sinuectomy there is a certain limitation of applicability of the method.
The author developed the following technique to solve this problem. As the treatment of atrophic rhinitis complicated with sinusitis he detached the inferior concha submucously from the medial surface of the maxillary bone by oral approach and transplanted a stick of spongiosa resected from the crest of the iliac bone into the crevice between the concha and the maxillary bone. As the result, the inferior concha is mobilized medially touching slightly with the septum. And then to treat sinusitis, esp. fronto-ethmo-maxillary sinusitis, he applied the author's technique of sinuectomy, i. e. the transoral and via-eyebrow combined sinuectomy.
