Adequate and accurate prognostic knowledge in handling osteomyelitis of the frontal bone is still wanting. The histologic studies of Mosher and others were a step forward. Yet, today's successes in the treatment of this condition are so frequently punctuated by failure that further study seems justifiable. New or unusual etiologic factors which seem to confuse today's picture may be a key to tomorrow's solution of the problem.
At present, the cases reported indicate that the process is an extension of frontal sinusitis to regions where the tissue is not equal, in local and general resistance, to the task of walling off the infection. Pastore and Williams1 presented a case in which the disease progressed from an active frontal sinusitis to an extradural abscess. Extensive frontoethmoidectomy controlled the disease. Adson and Hempstead2 presented cases in which frontal sinusitis was a direct vector. They stated that there are three types of osteomyelitis
LEWY RB. OSTEOMYELITIS OF THE FRONTAL BONE IN THE ABSENCE OF FRONTAL SINUSES. Arch Otolaryngol. 1941;33(3):425–429. doi:10.1001/archotol.1941.00660030429009
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