Clinical and surgical judgment is often challenged when suitable therapeutic measures must be selected for patients with infection of the blood stream originating in the temporal bone. The attitude toward the surgical procedure to be employed is more conservative than it formerly was, and this change in view may be considered an indication of improved appreciation of the significance and importance of the various pathologic factors involved.
In otologic literature, there is a general tendency to speak of general sepsis of otitic origin as being due to sinus thrombosis, whereas in reality sinus thrombosis is only one of the ways by which infection of the blood stream may originate from infection in the temporal bone. If the nature of the pathologic conditions which cause the general septic manifestations were to be classified more accurately, evaluation of suggestions for treatment of this serious complication of mastoiditis would be less difficult. The
LILLIE HI. SUPPURATION OF THE TEMPORAL BONE ACCOMPANIED BY INFECTION IN THE BLOOD STREAMA CLINICAL STUDY. Arch Otolaryngol. 1933;18(5):630–642. doi:10.1001/archotol.1933.03580060672005
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