Abstract
Adapting the idea by Grünwald, Hajek and others that rhinitis atrophicans is caused by sinuitis, and also referring to Schonstadt and Bruning's method, the author originated the following operation procedures, with which he obtained satisfactory results in 2 cases of rhinitis atrophicans.
1 Eradication of sinuitis:
Operations on sinuitis maxillaris and cellulitis ethmoidalis are conducted according to the method by Luc-Caldwell and Jansen-Winkler, and the oral wounds are packed with gauze.
2. Preparation of bone and callus fragment from tibia:
Operations to prepare bone and callus fragment are conducted simultaneously with the above operations.
3. Transplantation of bone and callus fragment together with periostium from tibia into the nasal cavity:
I) The oral cut is prolonged to Denker's resection.
II) The pyriform edge is exposed; the mucus membrane of fundus meatus nazi, m. n. inferior, c. n. inferior and m. n. med. is excorated under the periostium; chiseled cross-wise in several parts on the bone.
III) The cartilage of septum nasi is removed by Killian's method.
IV) The bone fragment is transplanted into two sacks of mucus membrane.
