Rhinologic patients tend to become pessimistic, and are prone to take the fatalistic attitude that "once a sinus, always a sinus." My personal impression that this condition of affairs does not actually exist, especially in disease of the maxillary sinus, has led to a careful analysis of 192 cases of chronic maxillary sinusitis which finally came to operation. No attempt has been made to include in this report the results in other diseases of the sinus, nor has there been an effort to give the final outcome in cases of chronic maxillary disease in which the patients were treated by conservative methods. I do not operate in every case of chronic infection of the sinus, and a great many of my patients have recovered without operative procedures. All of these cases occurred in private practice, among a clientele such as one finds in an average small community of the central
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William B. Stevenson (1931) studied this question.