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Article
July 1933

PROBLEMS CONCERNED WITH EMPYEMA OF THE PETROUS APEX

Author Affiliations

NEW YORK
From the Otolaryngological Department of Beth Israel Hospital.

Arch Otolaryngol. 1933;18(1):47-61. doi:10.1001/archotol.1933.03580060053005
Abstract

In January, 1931, Dr. Ralph Almour and I presented before the Section of Otology of the New York Academy of Medicine our conception of suppuration of the petrous pyramid. We then presented a study of the pathologic changes involved, the mechanics of invasion and the developmental stages of a new clinical entity. We proposed a new technic which we had successfully employed to meet the indications for surgical intervention which the pathologic changes of the lesion presented. We cited in detail our case histories and summarized the reasons for the recoveries and the deaths which occurred in the cases we studied.1

Our first presentation was also particularly concerned with clarifying a prevalent misconception which was general at that time. This misconception pertained to the underlying pathologic process which served to produce the clinical pictures rather loosely summarized as belonging to the so-called Gradenigo syndrome. We sought to establish the

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