THE PURPOSE of reporting these cases is primarily as a reminder that intracranial complications of chronic suppurative otitis media still play an important part in the practice of otology. Furthermore, the antibiotics and chemotherapeutic agents, although very helpful adjuncts in therapy, are not entirely curative and may give a misleading and masked picture of the actual pathologic condition. This may unnecessarily delay surgical intervention.
Lateral sinus thrombosis and thrombophlebitis are similarly affected by antibiotics and chemotherapeutic agents. Galloway,1 as far back as 1939, stated that thrombosis of the lateral sinus probably can be dealt with successfully without chemotherapy if necessary. The chemotherapy hastens the cure and prevents local and general spread of sepsis. Cunning,2 in discussing chemotherapy, mentions that it is of great help but that it must not take the place of surgical treatment. This impression, as well as the tendency of the antibiotics to mask the
ELSEN J, FRIEDMAN EA, LESHIN N. OTOGENOUS INTRACRANIAL COMPLICATIONS. AMA Arch Otolaryngol. 1951;54(4):409–416. doi:10.1001/archotol.1951.03750100071008
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