A review of the literature on suppuration of the petrous pyramid reveals the fact that the symptoms and signs now associated with this condition were known to pioneer otologists.
The modern concept of the disease is the result of gradual development which began with the classic description of the symptom complex by Gradenigo1 in 1904 and again in 1907. Since that time the interest of otologists in this condition has been constant. The excellent contributions of Perkins2 in 1910 and of Sears3 in 1926 have intensified this interest. The number of articles which have appeared in the recent literature evidences the increasing attention which the subject has received during the past few years. Unfortunately, numerous divergent views have been expressed with regard to the symptomatology, the pathology, the prognosis and the treatment. Considerable confusion and numerous misconceptions have thus arisen.
In an attempt to clarify
FRIESNER I, DRUSS JG, ROSENWASSER H, ROSEN S. SUPPURATION OF THE PETROUS PYRAMID. Arch Otolaryngol. 1935;22(6):659–688. doi:10.1001/archotol.1935.00640030677001
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