Five mastoidectomies and forty-two radical mastoidectomies were performed in thirty months during the 1951-1953 period, after which ten cases had complications. Of the latter six were thrombophlebitis and the remaining four cerebral abscess cases.
The treatment of otitic thrombophlebitis, of which the incidence among the intracranial complications is second only to otitic meningitis, has begun to show many characteristic features with the advent of antibiotics and, particularly, of anticoagulants. As is known, the removal of the primary focus followed by thrombectomy, rare cases excepted, has become a rule. With the exception of a suppurated thrombus, ligation of the internal jugular vein has not been generally accepted. In the cases treated by my co-workers and me we deemed it suitable to perform jugular ligation according to the course of the disease.
In our opinion, jugular ligation is not, as a rule, an intervention to be performed after thrombectomy. If the patient
BERKMAN Z. Anticoagulant Therapy in Otitic Thrombophlebitis: Report of Six Cases. AMA Arch Otolaryngol. 1956;63(3):236–243. doi:10.1001/archotol.1956.03830090008002
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