Despite a notable advance in the surgical treatment of sinus thrombosis, a mortality of from 35 to 50 per cent is still commonly reported by otologists. In the past, late operative intervention could be assigned as an important factor accounting for this high death rate. Today, however, this reason is not tenable. Early diagnosis and operation is the rule. Incomplete operative intervention with resulting metastatic invasion, for one reason or another, undoubtedly contributes to the high mortality of sinus thrombosis.
Dr. Libman's1 investigations on blood culture have been of tremendous importance in the knowledge of systemic infections of otitic origin. The recent differential blood culture studies of Dr. Ottenberg2 have thrown new light on the modus operandi of systemic invasion in sinus thrombosis. A preponderance of bacteria obtained from one internal jugular vein as compared with the other is suggestive of the presence of a
MAYBAUM JL. AN OPERATIVE PROCEDURE SUGGESTED FOR SINUS THROMBOSIS. Arch Otolaryngol. 1928;8(1):75–77. doi:10.1001/archotol.1928.00620020083011
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