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Article
January 1936

INTRA-UTERINE AND NEONATAL OTITIS: A STUDY OF SEVEN CASES INCLUDING A CASE OF OTITIC MENINGITIS

Author Affiliations

NEW YORK
From the Department of Otolaryngology, New York Postgraduate Medical School and Hospital, Service of Dr. Marvin F. Jones, Dr. Duncan Macpherson, Director.

Arch Otolaryngol. 1936;23(1):78-92. doi:10.1001/archotol.1936.00640040085008
Abstract

The solid constituents of amniotic fluid and the associated cellular exudate so frequently found post mortem in the middle ear of the new-born infant have been regarded as evidence of a condition distinct from otitis media of infancy.1 Opinions as to their nature and significance have been diverse. Zaufal2 thought them a product of spontaneous degeneration of the embryonal mucosa; Aschoff,1b a foreign body reaction, and Hartmann,3 a factor predisposing to secondary infection. Ascending infection of the amniotic fluid in cases of premature rupture of the fetal membranes has long been demonstrated,4 and the association of premature rupture of the membranes with intra-uterine aspiration pneumonia has been shown.5 Infection of the middle ear through the same course of events has been suggested as a possibility,6 but illustrative cases are not found in the literature. A consideration of this factor forms

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