THE INTRACRANIAL complications of mastoiditis have become a comparative rarity since the advent of the antimicrobials. Those of us who have seen a large ward in the Allegemeine Krankenhaus filled with patients with these complications, including several brain abscess cases, can testify to it. This change was well developed in a symposium on the subject at the Western Section of the American Laryngological, Rhinological and Otological Society, Inc., in January, 1955, and was discussed by a panel of neurologists, neurosurgeons, and otologists. They failed, however, to touch on what has long been a moot question—the proper surgical approach to brain abscess of otitic origin.
It is well known that the proportion of brain abscesses secondary to mastoiditis is very high. Stuart and associates1 in an excellent review of 125 cases report a large proportion to be found as complications of chronic middle-ear infections as against acute ones (3% of
LITTELL JJ. THE SURGICAL APPROACH TO BRAIN ABSCESS OF OTITIC ORIGIN. AMA Arch Otolaryngol. 1955;62(6):636–637. doi:https://doi.org/10.1001/archotol.1955.03830060068016
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