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May 1955

INTRACRANIAL COMPLICATIONS IN OTOLARYNGOLOGY: Summaries of the Bibliographic Material Available in the Field of Otolaryngology for 1951-1954

Author Affiliations

Dallas, Texas

AMA Arch Otolaryngol. 1955;61(5):599-608. doi:10.1001/archotol.1955.00720020616014

THE DECREASE in otorhinogenous intracranial complications has been remarkable since the availability of chemotherapeutic and antibiotic agents in the past 15 years. Such complications, however, still occur not uncommonly. This gratifying advance, whereas mainly due to the above-mentioned agents, must also be attributed to a better understanding of nasal physiology, better surgical techniques for sinus and ear operations, and more adequate allergy management. These dreaded complications will continue to be less lethal and less frequent if routine cultures, sensitivity tests, and specific antibiotics in adequate doses are employed. There is almost unanimous agreement, however, that once the complication has been established, adequate surgical drainage, in addition to chemotherapeutic and antibiotic agents, must be instituted to effect a cure. However, the surgical procedure usually may be more conservative than formerly, thus leading to less postoperative deformity and a smoother, more pleasant convalescence for the patient.

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