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The good that has come from the prominence given in otologic literature to suppuration of the petrous pyramid has arisen not from the description of special surgical technics but from the fact that otologists have become more alert than formerly they were to the recognition of clinical syndromes and that they more clearly understand the pathologic processes that are associated with the condition.
The experience at the Mayo Clinic has been that each patient encountered has had to be regarded individually as far as diagnostic criteria and surgical intervention are concerned. Before the significance of symptoms and signs of lesions in the petrous pyramid was recognized, it is certain that some patients died because adequate surgical intervention was not instituted. The reported experiences of various observers have been extremely helpful in improving the clinical interpretation of symptoms and signs which previously had not been recognized as important.
As experience with
LILLIE HI, WILLIAMS HL. CHRONIC SUPPURATIVE LESIONS OF THE PETROUS PYRAMID: REPORT OF SIX CASES WITH DIFFERENT PATHOLOGIC CHARACTERISTICS. Arch Otolaryngol. 1939;29(2):345–355. doi:10.1001/archotol.1939.00650050365013
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