Considering the close proximity of the mandibular fossa to the middle ear, it is remarkable that extension of infection from the middle ear to the jaw joint does not occur more often. It is not mentioned in any of the standard texts on otology, and the literature contains only one reference to it. This report is being made because suppuration in the mandibular fossa does occur secondary to otitis media, it must be differentiated from zygomatic mastoiditis and it requires special treatment.
Three patients with involvement of the jaw joint secondary to acute suppurative otitis media came under my care during a two year period.
REPORT OF CASES
Case 1.—W. F., a boy of 7, was first seen Feb. 11, 1935, four days after the onset of earache on the right side. The right drum membrane was red, thickened and bulging; the temperature was 103 F., and the child had
SHAMBAUGH GE. INVOLVEMENT OF THE JAW JOINT IN ACUTE SUPPURATIVE OTITIS MEDIA. Arch Otolaryngol. 1941;33(6):975–981. doi:10.1001/archotol.1941.00660030986006
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