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Article
November 1948

INTRACRANIAL COMPLICATIONS IN OTOLARYNGOLOGY

Author Affiliations

CHICAGO
From the Division of Otolaryngology of The University of Chicago.

Arch Otolaryngol. 1948;48(5):597-608. doi:10.1001/archotol.1948.00690040610007
Abstract

THE DECREASED incidence, morbidity and mortality of intracranial suppuration complicating diseases of the ear, nose and throat, as reported in recent literature, is impressive and encouraging. The principal reason for this is the extensive use of chemotherapeutic and antibiotic agents. Interesting also are the observations of foreign clinicians on arachnoiditis of the cerebellopontile cistern.

  1. Meningitis

  2. Osteomyelitis

  3. Brain abscess, subdural and extradural abscess

  4. Sinus thrombosis

  5. Cystic arachnoiditis

  6. Intranasal encephalomeningocele

  7. Cerebrospinal rhinorrhea and repair of dural defects

MENINGITIS  Hlavacek1 reports on the influence of sulfonamides on labyrinthitis complicating acute or chronic otitis media. The degree of secondary meningeal inflammation is directly reflected in the cell count of the cerebrospinal fluid. A progressive meningitis produces a progressive rise in the white blood cell count in the cerebrospinal fluid. Hlavacek considers this rise to be an indicator as to when labyrinthectomy should be done. All his patients received sulfonamides (dosage not given). Myringotomy and

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