Complications of otitis media arise and all too frequently go undiscovered for want of a more careful study of the ear. Many a general practitioner has been misled by a failure to examine the ears in an effort to diagnose an obscure febrile condition. On the other hand, consultants are at times likewise guilty in failure properly to evaluate the significance of a slightly abnormal drum in the presence of an obvious intracranial lesion. The possibility of occurrence of surgical mastoiditis and other more serious complications of otitic infection without rupture of the membrana tympani, even without apparent involvement of the middle ear, has long been recognized. From my experience in one of the larger otologic clinics, it would seem as though the condition has, however, been frequently overlooked.
These atypical cases occur both in children and in adults. In the very young, the condition is
LOVE AA. COMPLICATIONS OF OTITIS MEDIA WITHOUT RUPTURE OF THE MEMBRANA TYMPANI. Arch Otolaryngol. 1933;17(3):297–310. doi:10.1001/archotol.1933.03570050285001
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