The treatment of phlebitis and thrombosis of the lateral sinus has attracted discussion in otologic circles for many years. That it is still a moot subject is evidenced by the voluminous literature and the varying opinions expressed by the many leaders of our specialty. It is only by exchange of ideas and comparison of methods employed that the treatment of this dangerous complication will some day be settled to the satisfaction of all.
The precedents established by the early pioneers, Zaufal, Lane and Ballance, and others, have served to predicate for many years the mode of attack. That the ideal in therapy has not been achieved by the ligation of the internal jugular vein, or its resection, is easily ascertained by the high mortality rate various authors report.
Krepusca (quoted by Rott1) reported 295 cases of involvement of the lateral sinus. The mortality was higher for patients who were
ERSNER MS, MYERS D. TREATMENT OF THROMBOSIS OF THE LATERAL SINUSWITHOUT LIGATION OF THE INTERNAL JUGULAR VEIN. JAMA. 1937;109(12):919–923. doi:10.1001/jama.1937.02780380003002
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