During the past half century, the concept of otitis media has undergone a gradual evolution. With a better understanding of the basic pathological changes that develop in temporal bones, the operative procedures dealing with infectious processes have also shown a slow but steady evolution.
In 1904 on the basis of the autopsy examination of Bezold and Politzer, Scheibe1 published the following opinion: In the cases of otitis media in which one elicits tenderness over the mastoid process, one may be justified in considering that there exists an extensive inflammation of the pneumatic cells as well as in the tympanic cavity. In 1912, Alexander2 wrote that the time relation varied between the onset of mastoiditis and that of acute purulent otitis media. In cases of the fulminant type of purulent otitis media in which suppurative changes had existed for only a few days, he noted the surprising fact that
NISHIHATA T. Radical Surgery on Os Temporale on: A Study Based on Newer Concept of Pathological Changes in Infection of Temporal Bone. AMA Arch Otolaryngol. 1955;62(6):586–590. doi:10.1001/archotol.1955.03830060018005
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