That zygomatic mastoiditis is always part of a widespread mastoid infection has not been sufficiently emphasized. Mastoiditis does occur without evident otitis media, but it is very unusual to have such a case in which the first sign of mastoiditis is swelling over the zygoma. For these reasons the following case is reported:
REPORT OF CASE
J. W., a girl, aged 6, was first seen, May 26, 1924. For about one year the child had complained of a sensation of heaviness about the right ear. This discomfort occurred at irregular intervals and lasted for a day or so; there never had been any otorrhea. Up to a month prior to examination, the child had been well and active. Recently, however, her mother had noticed some languor and general lassitude. On examination, the left ear was found to be normal; the right canal was clear; there was no mastoid tenderness,
BREITSTEIN ML. ZYGOMATIC MASTOIDITIS WITHOUT CLINICAL OTITIS MEDIA. Arch Otolaryngol. 1926;4(4):300–303. doi:10.1001/archotol.1926.00590010322004
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