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Regular Departments
September 1962

Otitis Media and Complications 1961

Arch Otolaryngol. 1962;76(3):277-282. doi:10.1001/archotol.1962.00740050285013

The past year has been noteworthy for original ideas on cholesteatoma and a considerable number of articles on intracranial complications of otitis media.

Acute Otitis Media  Hoefnagel and Joseph (Boston)1 reported an unusual finding in 5 children with acute otitis media: oculosympathetic paralysis. The symptoms were drooping of the upper eyelid and narrowing of the pupil on the side of the otitis media. This resembles Horner's syndrome, but the absence of sweating of the forehead and face on the affected side, sometimes seen in Horner's syndrome, was not seen. A few reports of this condition have been made before. They explain the findings by a diagram that shows sympathetic nerve fibers coming up from the superior cervical ganglion along the plexus around the internal carotid artery, across the floor of the middle ear (where the paralysis may occur) and out along the vidian nerve to the ophthalmic nerve. The