Osteomyelitis of the frontal bone may be extraordinarily dangerous, because of the rapidity with which it spreads and the frequency with which it is followed by intracranial complications. The treatment— immediate and radical surgical intervention—should therefore be instituted automatically when the diagnosis has been made.
In most cases it originates from acute or chronic sinusitis, and the operation has, therefore, two purposes: (1) to remove all the diseased part of the bone and to drain possible deep-seated inflammation (leptomeningitis, epidural abscess or possibly abscess of the brain) and (2) to clean out and drain the sinuses from which the infection has originated.
The bone affected by osteomyelitis behaves as though it contained a malign tumor. The resection must therefore be performed in healthy tissue. It may be difficult, and is sometimes impossible, even during the operation to decide with certainty where the bone is healthy. Before the operation it is
KETTEL K. OSTEOMYELITIS OF THE FRONTAL BONE: SURGICAL TREATMENT: WHICH WAY OF APPROACH IS THE BEST? Arch Otolaryngol. 1940;31(4):622–625. doi:https://doi.org/10.1001/archotol.1940.00660010627004
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