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Article
January 1940

RECONSTRUCTION AFTER RADICAL OPERATION FOR OSTEOMYELITIS OF THE FRONTAL BONE: EXPERIENCE IN EIGHTEEN CASES

Author Affiliations

BOSTON
From the plastic clinic of the Massachusetts General Hospital and the Massachusetts Eye and Ear Infirmary.

Arch Otolaryngol. 1940;31(1):94-112. doi:10.1001/archotol.1940.00660010095010
Abstract

Since 1931, at the suggestion of Dr. H. P. Mosher, a radical operation for osteomyelitis of the frontal bone has been used routinely at the Massachusetts Eye and Ear Infirmary. Because of the poor prognosis with conservative treatment, radical resection of the frontal bone has been adopted as the operation of choice at other hospitals as well.

The adoption of this radical operation has greatly diminished the mortality from the disease. For instance, statistics show in 1928 and 1930 a total of 6 cases, with a mortality of 83.3 per cent—only 1 patient out of 6 surviving; during the years 1936, 1937 and 1938,1 8 patients were treated without a mortality.

The new operation, however, has created another problem, namely that of the deformity. It is unnecessary to enlarge on its psychologic, social and economic consequences for the patient.

Eighteen patients have been referred to the plastic service of the

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