October, 1906.] Rhinology, and Otology. 495 nasal route depended not so much on how long the purulent process had lasted as upon the character of the lining mucosa. If degenerated and filled with polypi intra-nasal treatment would probably fail. In otherwise uncomplicated primary purulent inflammation of the antrum of nasal origin, nasal treatment, provided the opening through the naso-antral wall were large enough, should be successful. The PRESIDENT considered that the debate showed that the

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... rue attitude was one of eclecticism in the selection of pure rhinological or external methods. He was himself in favour of the treatment of rhinological conditions by rhinological methods, but this principle should not be pushed too far. He thought the difficulty expressed by Dr. Logan Turner was met by explaining to the patient that the less radical operation might require to be followed by the more radical one. He (the President) had more than once had occasion to wish he had operated more radically, but he was sure lie had in many instances been able by intra-nasal methods to obviate the necessity for external operation. He saw signs of a groAving tendency towards the rhinological methods. He reminded the Section of the certain damage to the teeth in children in opening the antrum freely by the canine fossa. He exhibited some curved bougies for the dilatation of the infundibulum which, combined with the use of Sondermann's suction apparatus (also exhibited), he had found of value in the treatment of frontal sinusitis. REPLY.