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July 1926

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
Abstract

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

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