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J. J. Horton, M.D.
JAMA. 1937;108(11):904-905. doi:10.1001/jama.1937.02780110052021.
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To the Editor:—  In his paper on facial injuries in The Journal, January 9, Dr. C. L. Straith refers to Dr. J. J. Shea (The Journal, Feb. 7, 1931, p. 418) as "elevating the malar bone by means of an antrum trocar inserted into the antrum through the nose."In The Journal, Dec. 21, 1929, I described the method reported by Dr. Shea. In the same article I mentioned the method Dr. Straith calls his—entering the antrum through the lateral alveolar margin—and gave reasons for not using it.Entering the antrum with a trocar (preferably through the nose) is a proper procedure; however, elevating the fractured bone with a sharp pointed instrument such as an antrum trocar obviously will further injure the already traumatized mucous membrane within the antrum and should not be used for elevating the bone. A solid urethral sound is better.


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