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CHRONIC MASTOIDITIS CAUSING FACIAL NERVE PARALYSIS, HYPOGLOSSAL NERVE PARALYSIS, AND ABSCESS IN THE NASOPHARYNX

CHRONIC MASTOIDITIS CAUSING FACIAL NERVE PARALYSIS, HYPOGLOSSAL NERVE PARALYSIS, AND ABSCESS IN... Abstract SINCE THE advent of chemotherapeutics and antibiotics and other "wonder drugs," a certain complacency had crept into the minds of physicians and patients alike about the seriousness of a chronic ear discharge. While one may say that the prognosis in acute ear infections has markedly improved by adequate therapy with antibiotics, the chronic ear conditions were not influenced by these medications. As a matter of fact, inadequate antibiotic therapy has contributed to masking of the symptoms until the pathology was more advanced, and the manifestations of mastoid disease are now more variegated than in the days prior to the usage of the above drugs. Also, it is now fairly well established that in mastoid infection the bony changes like osteitis and periosteitis or osteomyelitis induce thrombosis of the blood vessels that supply the mastoid bone, and these thrombosed vessels prevent the dissemination of the medication to the local foci of References 1. Monti, P. C.: Latent Otomastoiditis: Review of Literature , Arch. ital. otol. 61:63-68 ( (Jan.-Feb.) ) 1950. 2. Coen, R.: Irritation Syndrome of Cervicocranial Sympathetic System in Otomastoiditis with Perisinusal Abscess , Riv.-oto-neuro-oftal. 25:49-56 ( (Jan.-Feb.) ) 1950. 3. Sosa, A. M.: Case of Mastoiditis and Abscess Perforated into Pharynx: Jugodigastric Mastoiditis , Bol. Soc. cir. Córdoba 3:235-260, 1942. 4. Morote, A.: Otogenous Velopalatinal Abscess as Cervical Complication of Mastoiditis , Med. españ. 10:781-789 ( (Dec.) ) 1943. 5. Bergaglio, E. O., and Corri, V. R.: Acute Mastoiditis with Abscess of Digastric Muscle: Case , Rev. Otorrinolaryng. litoral 1:108-111 ( (Sept.) ) 1941. 6. Richter, H.: Etiology, Diagnosis and Therapy of Unusual Otogenic Gravitation Abscesses (Bezold Type) , Arch. Ohren- Nasen- u. Kehlkopfh. 150:203-216, 1941.Crossref 7. Scillagi: Bezold's Mastoiditis in Infants , Gyógyászat 80:374-377 ( (Aug. 17-24) ) 1940. 8. Tsuda, T.: Bezold's Mastoiditis: Two Cases , Nagasaki Igakkai Zassi 15:156-157 ( (Feb. 25) ) 1937. 9. Joubert, L. deG.: A Case of Mastoiditis, Bezold Type (Internal Fistulization) , J. Hôtel-Dieu de Montréal 4:294-298 ( (Nov.) ) 1935. 10. Hempstead, B. E.: Lateral Pharyngeal Abscess Following Mastoidectomy Accompanied by Recurrent Laryngeal Paralysis: Report of Case , Tr. Am. Laryng. Rhin. & Otol. Soc. 39:551-553, 1933. 11. Segura, E., and Layera, J.: Fistula Between Nasopharynx and Mastoid Process Complicating Mastoiditis of Bezold Type: Clinical and Anatomical Copathologic Study of the Case , Rev. Asoc. méd. argent. 47:1973-1975 ( (Jan.) ) 1933. 12. Restivo, P.: Retropharyngeal Abscess Due to Otomastoiditis , Valsalva 8:29-35 ( (Jan.) ) 1932. 13. Weaver, D. F.: Complications Resulting from Chronic Mastoiditis with Cholesteatoma: Report of a Case with Subperiosteal Abscess and Paralysis of the Facial and Spinal Accessory Nerves , A. M. A. Arch. oto-laryng. 61:71-73 ( (Jan.) ) 1955. 14. Cossa, P.; Sprecher, R., and Duplay, J.: Mastoiditis of Mastoid Tip, Differential Diagnosis from Nasopharyngeal Neoplasm , Riv. Oto-neurooftal. Bologna 26:115-116, 1954. 15. Fascia of Head and Neck , in Cunningham, D. J.: Cunningham's Text-Book of Anatomy , Baltimore, William Wood & Company, 1931. 16. Cervical Fascias , in Gray, H.: Anatomy of the Human Body , Ed. 26, Philadelphia, Lea & Febiger, 1954, p. 430. 17. Coller, F. A., and Yglesias, L.: The Relations of the Spread of Infection to Fascial Planes in the Neck and Thorax , Surgery 1:323-337 ( (March) ) 1937. 18. Grodinsky, M., and Holyoke, E. A.: The Fasciae and Fascial Spaces of the Head, Neck and Adjacent Regions , Am. J. Anat. 63:367-408 ( (Nov.) ) 1938. 19. Mosher, H. P.: Deep Cervical Abscess and Thrombosis of Internal Jugular Vein , Laryngoscope 30:365 ( (June) ) 1920. 20. Mosher, H. P.: President's Address: The Submaxillary Fossa Approach to Deep Pus in the Neck , Tr. Am. Acad. Ophth. 34:19-36 ( (Oct. 21) ) 1929. 21. Ballenger, W. L.; Ballenger, H. C., and Ballenger, J. J.: Diseases of the Nose, Throat and Ear , Ed. 9, Philadelphia, Lea & Febiger, 1947. 22. Beck, J. C.: Applied Pathology, Diseases of the Nose, Throat and Ear , St. Louis, C. V. Mosby Company, 1923. 23. Lederer, F. L.: Diseases of Ear, Nose and Throat , Ed. 6, Philadelphia, F. A. Davis Company, 1952, p. 251. 24. Barnhill, J. F., and Mellinger, W. J.: Surgical Anatomy of the Head and Neck , Ed. 1, Baltimore, William Wood & Company, 1937, p. 225. 25. Grant, J. C. B.: A Method of Anatomy , Ed. 5, Baltimore, Williams & Wilkins Company, 1952, pp. 668-669. 26. Dejong, R. N.: Neurologic Examination , New York, Paul B. Hoeber, Inc., 1950, Vol. 1, Chap. 1 . http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

CHRONIC MASTOIDITIS CAUSING FACIAL NERVE PARALYSIS, HYPOGLOSSAL NERVE PARALYSIS, AND ABSCESS IN THE NASOPHARYNX

A.M.A. Archives of Otolaryngology , Volume 64 (6) – Dec 1, 1956

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References (26)

Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1956.03830180093015
Publisher site
See Article on Publisher Site

Abstract

Abstract SINCE THE advent of chemotherapeutics and antibiotics and other "wonder drugs," a certain complacency had crept into the minds of physicians and patients alike about the seriousness of a chronic ear discharge. While one may say that the prognosis in acute ear infections has markedly improved by adequate therapy with antibiotics, the chronic ear conditions were not influenced by these medications. As a matter of fact, inadequate antibiotic therapy has contributed to masking of the symptoms until the pathology was more advanced, and the manifestations of mastoid disease are now more variegated than in the days prior to the usage of the above drugs. Also, it is now fairly well established that in mastoid infection the bony changes like osteitis and periosteitis or osteomyelitis induce thrombosis of the blood vessels that supply the mastoid bone, and these thrombosed vessels prevent the dissemination of the medication to the local foci of References 1. Monti, P. C.: Latent Otomastoiditis: Review of Literature , Arch. ital. otol. 61:63-68 ( (Jan.-Feb.) ) 1950. 2. Coen, R.: Irritation Syndrome of Cervicocranial Sympathetic System in Otomastoiditis with Perisinusal Abscess , Riv.-oto-neuro-oftal. 25:49-56 ( (Jan.-Feb.) ) 1950. 3. Sosa, A. M.: Case of Mastoiditis and Abscess Perforated into Pharynx: Jugodigastric Mastoiditis , Bol. Soc. cir. Córdoba 3:235-260, 1942. 4. Morote, A.: Otogenous Velopalatinal Abscess as Cervical Complication of Mastoiditis , Med. españ. 10:781-789 ( (Dec.) ) 1943. 5. Bergaglio, E. O., and Corri, V. R.: Acute Mastoiditis with Abscess of Digastric Muscle: Case , Rev. Otorrinolaryng. litoral 1:108-111 ( (Sept.) ) 1941. 6. Richter, H.: Etiology, Diagnosis and Therapy of Unusual Otogenic Gravitation Abscesses (Bezold Type) , Arch. Ohren- Nasen- u. Kehlkopfh. 150:203-216, 1941.Crossref 7. Scillagi: Bezold's Mastoiditis in Infants , Gyógyászat 80:374-377 ( (Aug. 17-24) ) 1940. 8. Tsuda, T.: Bezold's Mastoiditis: Two Cases , Nagasaki Igakkai Zassi 15:156-157 ( (Feb. 25) ) 1937. 9. Joubert, L. deG.: A Case of Mastoiditis, Bezold Type (Internal Fistulization) , J. Hôtel-Dieu de Montréal 4:294-298 ( (Nov.) ) 1935. 10. Hempstead, B. E.: Lateral Pharyngeal Abscess Following Mastoidectomy Accompanied by Recurrent Laryngeal Paralysis: Report of Case , Tr. Am. Laryng. Rhin. & Otol. Soc. 39:551-553, 1933. 11. Segura, E., and Layera, J.: Fistula Between Nasopharynx and Mastoid Process Complicating Mastoiditis of Bezold Type: Clinical and Anatomical Copathologic Study of the Case , Rev. Asoc. méd. argent. 47:1973-1975 ( (Jan.) ) 1933. 12. Restivo, P.: Retropharyngeal Abscess Due to Otomastoiditis , Valsalva 8:29-35 ( (Jan.) ) 1932. 13. Weaver, D. F.: Complications Resulting from Chronic Mastoiditis with Cholesteatoma: Report of a Case with Subperiosteal Abscess and Paralysis of the Facial and Spinal Accessory Nerves , A. M. A. Arch. oto-laryng. 61:71-73 ( (Jan.) ) 1955. 14. Cossa, P.; Sprecher, R., and Duplay, J.: Mastoiditis of Mastoid Tip, Differential Diagnosis from Nasopharyngeal Neoplasm , Riv. Oto-neurooftal. Bologna 26:115-116, 1954. 15. Fascia of Head and Neck , in Cunningham, D. J.: Cunningham's Text-Book of Anatomy , Baltimore, William Wood & Company, 1931. 16. Cervical Fascias , in Gray, H.: Anatomy of the Human Body , Ed. 26, Philadelphia, Lea & Febiger, 1954, p. 430. 17. Coller, F. A., and Yglesias, L.: The Relations of the Spread of Infection to Fascial Planes in the Neck and Thorax , Surgery 1:323-337 ( (March) ) 1937. 18. Grodinsky, M., and Holyoke, E. A.: The Fasciae and Fascial Spaces of the Head, Neck and Adjacent Regions , Am. J. Anat. 63:367-408 ( (Nov.) ) 1938. 19. Mosher, H. P.: Deep Cervical Abscess and Thrombosis of Internal Jugular Vein , Laryngoscope 30:365 ( (June) ) 1920. 20. Mosher, H. P.: President's Address: The Submaxillary Fossa Approach to Deep Pus in the Neck , Tr. Am. Acad. Ophth. 34:19-36 ( (Oct. 21) ) 1929. 21. Ballenger, W. L.; Ballenger, H. C., and Ballenger, J. J.: Diseases of the Nose, Throat and Ear , Ed. 9, Philadelphia, Lea & Febiger, 1947. 22. Beck, J. C.: Applied Pathology, Diseases of the Nose, Throat and Ear , St. Louis, C. V. Mosby Company, 1923. 23. Lederer, F. L.: Diseases of Ear, Nose and Throat , Ed. 6, Philadelphia, F. A. Davis Company, 1952, p. 251. 24. Barnhill, J. F., and Mellinger, W. J.: Surgical Anatomy of the Head and Neck , Ed. 1, Baltimore, William Wood & Company, 1937, p. 225. 25. Grant, J. C. B.: A Method of Anatomy , Ed. 5, Baltimore, Williams & Wilkins Company, 1952, pp. 668-669. 26. Dejong, R. N.: Neurologic Examination , New York, Paul B. Hoeber, Inc., 1950, Vol. 1, Chap. 1 .

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Dec 1, 1956

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