While congenital arteriovenous fistula may occur in any part of the body, the particular train of signs and symptoms produced by it depends on its size and location. In most of the cases which have been observed at the Mayo Clinic the fistula has occurred in the extremities. In one of the cases which we wish now to report not only the left upper extremity and the scalp but also the external and the middle ear were involved. In addition, there appeared to be intracranial arteriovenous communications. The patient in this case presented herself for examination because of pain in the left ear. No attempt at surgical treatment was made. The patient in the second case presented herself for examination because of a constant noise in the right ear. This proved to be due to congenital arteriovenous fistulas involving the posterior branch of the right temporal artery and and vein
BAYARD T. HORTON, BERT E. HEMPSTEAD. CONGENITAL ARTERIOVENOUS FISTULA OF THE MIDDLE EAR AND EXTERNAL AUDITORY CANAL. Arch Otolaryngol. 1938;27(6):736–738. doi:10.1001/archotol.1938.00650030754004
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