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February 1942


Arch Otolaryngol. 1942;35(2):349-352. doi:10.1001/archotol.1942.00670010351012

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Traumatic Perforation of the Right Frontal Sinus with Pneumocephalus and Brain Abscess: Report of a Case.Dr. Philip A. Marden.  M. W., a 10 year old white boy, was admitted to the Hospital of the University of Pennsylvania on Feb. 16, 1941. Two days previously, while he was coasting, an iron runner on the preceding sled had been driven into his skull at the superior inner angle of his right orbit. He extricated himself and was able to walk home unaided. A local physician closed the wound with clips. The boy was never unconscious. During the next few hours fever and vomiting developed. The wound was reopened, revealing a cerebrospinal fluid leak and traumatized brain tissue. Tetanus antitoxin (1,500 units) was given intramuscularly, and the administration of sulfanilamide by mouth was begun. He was brought to Philadelphia forty-eight hours after the accident.Examination on admission revealed a pale frightened querulous boy,

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