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MAY 22, MORNINGSESSION
MASTOIDITIS INDIABETESCOMPLICATED WITHDIABETICFACIALPARALYSIS. Presented by DR. E. M. SEYDELL, Wichita, Kans.
The causative factors in the complications in diabetes are discussed under the following headings: Nutritional disturbances, increase of sugar in the blood and tissues, toxic substances elaborated in the system and changes in the blood vessels.
In diabetic patients, there is a greater tendency to suppuration of the middle ear and temporal bone than in nondiabetic patients. Consequently the following complications are not uncommonly met with: otitis media, mastoiditis with or without sequestrum, sinus thrombosis, brain abscess, periarticular abscess of the maxillary joint, abducens paralysis, deafness, vestibular nerve involvement, and facial paralysis. These are discussed but chief emphasis is placed on the last complication.
The nervous complications of diabetes are divided into sensory changes, motor changes and trophic disturbances. The relationship of these complica