Bacterial thrombophlebitis of the cavernous sinus secondary to an infection about the face presents a formidable problem. The difficulty of early clinical recognition of such a lesion, the anatomic position of the sinus and the knowledge that bacterial meningitis will probably occur are all factors that mitigate against succesful treatment of this disease. Attempts have been made to surmount some of these difficulties, but the reported results following the operative treatment of an infected cavernous sinus have not been encouraging.
We have been unable to find any record of an attempted surgical attack on the cavernous sinus prior to 1892. In this year Bircher1 operated on a woman, 25 years of age, who had chronic suppurative otitis media of many years' duration. A temporal approach was used to expose the apex of the petrous part of the temporal bone, which was found to be necrotic. The suppuration extended into
BROWDER J, MYERSON MC. A SURGICAL METHOD FOR THE PREVENTION OF THROMBOPHLEBITIS OF THE CAVERNOUS SINUS: REPORT OF A CASE. Arch Otolaryngol. 1935;21(5):574–583. doi:10.1001/archotol.1935.00640020588008
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