THE LITERATURE on otitis media and complications for the year 1955 contains an increasing number of articles on intracranial complications. The authors are unanimous in urging careful observations of otitis media cases, early incision of the drum where improvement of symptoms is not rapid, and surgery of the mastoid when necessary. Almost every case of meningitis and brain abscess developed in patients receiving inadequate doses of antibiotics with inadequate supervision.
Davison1 (Danville, Pa.) reported on the care of otitis media now as contrasted with its management in the preantibiotic days. In 1937, before the sulfonamides were available, his group did mastoidectomies in 58.9% of 202 cases of otitis media and mastoiditis. In 1943, with the use of the sulfonamide preparations, 26.2% of 282 cases were operated on. In the last few years, with the use of from 1,000,000 to 10,000,000 units of penicillin daily, only 2% or 3%
DYSART BR. OTITIS MEDIA AND COMPLICATIONSSummaries of the Bibliographic Material Available in the Field of Otolaryngology for 1955. AMA Arch Otolaryngol. 1956;64(5):413–424. doi:10.1001/archotol.1956.03830170063010