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April 1948


Author Affiliations


Arch Otolaryngol. 1948;47(4):509-523. doi:10.1001/archotol.1948.00690030531017

THE LITERATURE on otitis media appearing in publications of 1946 is here reviewed under headings for ease in comparison of opinions. Some articles are commented on under more than one heading. Comments of the reviewer appear in brackets.

ANATOMY  Seppälä1 conducted an interesting study of the variations of pneumatization of the temporal bone. Roentgenograms were taken of the mastoid bones of 1,524 recruits of Finland aged 20 and 21 years. The author studied three problems: the frequency of various types of pneumatization; otitis media in various types of pneumatization, and complications of otitis media in various types of pneumatization. His findings are given in the table.Seppälä operated on 711 ears in 678 patients who had pathologic conditions. He concluded that complications may develop early in temporal bones in which there is arrested pneumatic development. Apicitis developed in 8 patients, all of whom had extensive pneumatic development. Labyrinthitis

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