R. NICKBRYANMDPATRICIA A.HUDGINSMD
In November 1881, Friedrich Bezold described a coalescent mastoiditis with pus escaping through the incisura digastrica, forming an abscess spreading along the digastric muscle toward the chin, filling the retromandibular fossa, and/or spreading further along the sternocleidomastoid, trapezius, and splenius muscles, a condition that was fatal when the vertebrae and skull base were affected.1- 3 In the preantibiotic days of Bezold, otitis media acuta was complicated by mastoiditis in 50% of cases, 20% of which involved a Bezold abscess. Since the advent of modern antibiotic therapy, acute mastoiditis occurs in only 0.24% of cases of acute otitis media and leads to abscess formation in 50% of these cases. So even though mastoidal complications of otitis media are rare today, they are more often followed by extramastoidal complications.4
Radiology Quiz Case—Diagnosis. Arch Otolaryngol Head Neck Surg. 2003;129(6):684. doi:10.1001/archotol.129.6.683
* * Maintenance Notice * *
Maintenance will be performed from 11:00pm CT December 16, 2017 to 4:00pm CT December 17. Please be advised that your site/services may be periodically unavailable during this maintenance window.