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July 1933


Author Affiliations

From the Mount Sinai Hospital.

Arch Surg. 1933;27(1):83-158. doi:10.1001/archsurg.1933.01170070086005

INTRODUCTION  The present communication is concerned with osteomyelitis of the flat and irregular bones of the skull exclusive of the maxilla. The principles of the pathogenesis of acute osteomyelitis in general will be incorporated in this paper as they apply to osteomyelitis of the skull, and any differences from the usual manifestations found in the long or other irregular bones of the body will be found to occur as a result of the essential structure of the cranial bones. Any extraordinary phenomena associated with osteomyelitis of the skull that occur in a large clinical group result from its origin in the neighboring nasal accessory sinuses or in the otologic apparatus, and are associated mainly with the development of intracranial secondary complications which commonly dominate the clinical picture.In this communication I shall consider only those cases of acute osteomyelitis of the skull that are caused by the common pyogenic organisms—staphylococci,

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