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March 1937


Arch Otolaryngol. 1937;25(3):354-360. doi:10.1001/archotol.1937.00650010392012

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Mastoiditis in Infants. Prof. Heinrich Finkelstein (Director Municipal Children's Hospital), Berlin, Germany (by invitation).  In contrast with the view commonly held by otologists, many pediatricians consider otitis in infancy benign; it is supposed to lead to mastoiditis rarely, and even then, presumably, the mastoiditis heals rapidly after simple incision following the formation of a subperiosteal abscess. I believe that this holds true only for the first six months of life; later, there are not a few instances of serious involvement. Of special significance is the occurrence of "latent" mastoiditis, without, or almost without, local symptoms; chronic states of fever, septicemia and cerebral symptoms are thereby explained. From a therapeutic point of view, these instances of latent infection are especially important also when pneumonia or dystrophy, lasting for months, is present at the same time. Only suppuration from the ear leads to suspicion of involvement of the mastoid. On operation, antral

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