THE RÔLE OF EAR AND NOSE IN INTRACRANIAL LESIONS IN GENERAL
Trauma.—A suppurating ear following a fracture through the petrous pyramid is the cause of death in about 8 per cent of cases of intracranial lesions, while a depressed fracture through one or other of the accessory sinuses gives rise to septic meningitis much more frequently—possibly months later—although a linear fracture through the anterior fossa of the base is usually exempt from meningitis.
Surgical treatment of meningitis from a complicating suppurative otitis or sinusitis gives a better prognosis in fracture cases than in primary otitis or sinusitis, because a protective zone of adhesions is built up in the pia-arachnoid prior to the advent of the suppurative process. Consequently, drainage of the infected area (if performed early) results in a cure in a considerable proportion of cases.
Rand and Nielsen 1 report seven cases of meningitis in 171 skull
EAGLETON WP. PROGRESS IN OTOLARYNGOLOGYA Summary of the Bibliographic Material Available in the Field of OtolaryngologyINTRADURAL COMPLICATIONS OF AURAL AND NASAL ORIGINA SURVEY OF RECENT LITERATURE. Arch Otolaryngol. 1926;4(1):69–81. doi:10.1001/archotol.1926.00590010079008
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