REASONS FOR RECOGNITION
Serous labyrinthitis should be recognized as one of the inflammatory diseases of the labyrinth, which it is, rather than a stage of diffuse suppurative labyrinthitis, which it is not, It is true that serous labyrinthitis is etiologically dependent on a neighboring inflammatory process and may, from this point of view, be regarded much as is a collateral edema or effusion into a joint or visceral cavity. Serous labyrinthitis should be given a place of first importance because of its close resemblance to diffuse suppurative labyrinthitis, which is destructive and very dangerous, while the serous form is not. Serous labyrinthitis subsides without damage; the suppurative does not. The suppurative may make the labyrinth operation necessary; the serous does not. In true serous labyrinthitis the fluid is sterile. That it can become infected, no one denies, but this is after the suppurative middle-ear process has progressed to the point
FLETCHER JR. SEROUS LABYRINTHITIS: REASONS FOR RECOGNITION: DIFFERENTIAL DIAGNOSIS: CONTRA-INDICATIONS AGAINST LABYRINTH OPERATION: PROGNOSIS. JAMA. 1911;LVII(4):271–274. doi:10.1001/jama.1911.04260070275003
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