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Article
December 1, 1888

A CASE OF NECROSIS OF THE MASTOID CELLS AND THE ENTIRE LABYRINTH OF THE OTHER SIDE, WITH PARALYSIS OF THE FACIAL NERVE,FOLLOWED BY PARTIAL RECOVERY OF HEARING. Read at the Congress of Otology, Brussels, September 10, 1888.

Author Affiliations

AURAL SURGEON TO THE JEFFERSON MEDICAL COLLEGE HOSPITAL, PHILADELPHIA. PENN.

JAMA. 1888;XI(22):771-773. doi:10.1001/jama.1888.02400730015001d
Abstract

In most of the cases of purulent disease of the ear extending from the middle ear to the brain, the upper bony wall (roof) of the tympanic cavity is the part usually affected, and by this route the disease is carried direct to the cerebrum or cerebellum; transmission may also occur through the blood-vessels and other sources. Another and more rare method of tissue conveyance of ear disease to the brain, is by way of the labyrinth through the inner wall of the tympanum and round window. The base of the stapes again, with its delicate ligaments, forms the only septum between the tympanum and vestibule, aud when suppuration takes place in the labyrinth, the disease advances through the cribriform floor of the internal auditory meatus to the auditory nerve, and thence to the base of the brain and medulla oblongata. In other cases, purulent matter is formed beneath the

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