Pain due to pathologic conditions in the ear simultaneously involving such large areas as the face, the neck, the arm and the chest is an uncommon occurrence. The 2 patients described here were treated for chronic mastoiditis. An explanation of the neurologic pathways according to present knowledge will be given.
REPORT OF CASES
Case 1.—Mrs. L. V. underwent radical mastoidectomy on the right side in 1932. A cholesteatoma was found in the mastoid antrum and middle ear with extensive destruction of bone, including the facial canal. Postoperative facial paresis persists up to the present time. The mastoid wound healed and stayed dry until July 1942; then it began to discharge again after an infection of the upper respiratory tract. Severe pain developed in the ear, and the patient was treated until November 1942, when she was readmitted to the hospital for observation. Repeated general examinations by the medical department showed