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January 1927


Author Affiliations

From the Department of Otolaryngology, Washington University Medical School.

Arch Otolaryngol. 1927;5(1):39-42. doi:10.1001/archotol.1927.00600010047003

Prior to the last few years, a mastoiditis requiring operation was rarely diagnosed in infants except on the basis of external signs: redness, swelling or subperiosteal abscess. It is now known that an infant may have a severe mastoid infection, capable of producing profound constitutional symptoms and even death, without the presence of any of the external signs.1 In adults, one of the most dangerous types of mastoiditis runs its entire course, often leading to serious intracranial or constitutional complications and death, without presenting any external evidence of the disease. This has been called the hemorrhagic type of mastoiditis because the local dissemination of the infection takes place by way of the blood vessels instead of by contiguity, as in the coalescent type of the disease. Each of these types of mastoid infection has its analog in the infant, differing from the adult condition only because of

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