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Osteomyelitis of the Frontal Bone. Harry P. Schenck, M.D.
The impact of antibiotics on the incidence, course, and therapy of osteomyelitis of the frontal bone was described by Dr. Schenck in an analysis of 56 cases divided into the three decades of 1929 to 1938, 1939 to 1948, and 1949 to 1958. His tables showed a decline in the number of cases of acute fulminating osteomyelitis from nine in the first period to none in the third period. The offending organism in all types of cases in all three periods was oftenest the Staphylococcus aureus, with hemolytic Streptococcus in second place.Emphasis was placed on adequate x-ray studies which require expert interpretation because the antibiotics result in bony changes that differ from those seen in the preantibiotic days. These changes may be detected within five days of the onset, but the typical moth-eaten appearance of the bone, previously a constant