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October 1966

Otitis Media and Complications

Author Affiliations

From the Department of Otolaryngology, University of Southern California Medical School.

Arch Otolaryngol. 1966;84(4):468-472. doi:10.1001/archotol.1966.00760030470021

DURING 1965 the articles on otitic intracranial complications seemed to have been increasing.

Acute Hemorrhagic Bullous Myringitis  The acutely painful bullae seen on the drum are almost always caused by viral infections and very rarely progress to suppurative otitis. Kilpatrick1 reported a case of hemorrhagic bullous myringitis that affected both ears of a patient with infectious mononucleosis. He found no previous report of such a case. Harbert2 said that giving antibiotics to such patients is a very common mistake. He went on to say that drums do not rupture in acute suppurative otitis media because of pressure alone but also because of necrosis resulting from vascular occlusion. Myringotomy should be done in these very severe cases to prevent extensive necrosis that would result in a permanent perforation.Comment.—When hearing is tested in cases of bullous myringitis only slight impairment will be found. The tuning fork will show

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