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ACUTE AND CHRONIC MASTOIDITIS: CLINICAL ANALYSIS OF FIVE HUNDRED AND TWENTY-SIX CONSECUTIVE OPERATIONS

ACUTE AND CHRONIC MASTOIDITIS: CLINICAL ANALYSIS OF FIVE HUNDRED AND TWENTY-SIX CONSECUTIVE... Abstract This report consists of an analysis with observations of 526 consecutive operations for acute or chronic mastoiditis which were performed in the services of otology and pediatrics in the same hospital on 466 patients from 1930 to 1939 inclusive. No attempt was made to differentiate between patients treated with sulfonamide compounds and those not so treated, although patients receiving such therapy during the last few years were included. However, the much lower average in the number of operations during the last three years than during the first seven years may be due to the general use of these drugs. There were 342 mastoidectomies on 288 patients with acute mastoiditis and 179 radical mastoidectomies on 173 patients and 5 modified radical (Heath) mastoidectomies on 5 patients with chronic mastoiditis. Thus 65 per cent of the operations were for acute mastoiditis and 35 per cent for chronic. In addition to those mentioned, References 1. Kafka, M. M.: Mortality of Mastoiditis and Cerebral Complications with Review of 3,225 Cases of Mastoiditis, with Complications , Laryngoscope 45:790 ( (Oct.) ) 1935. 2. Lacy, N. E.: Recurring Mastoiditis , Kansas City M. J. 14:18 ( (Dec.) ) 1938. 3. Tomb, E. H.: Simple Mastoidectomy: A Critical Analysis of One Hundred Consecutive Cases , Arch. Otolaryng. 31:478 ( (March) ) 1940.Crossref 4. Kreutz, G. C., and Witter, G. L.: Observations in Three Hundred Cases of Acute Mastoiditis , Ann. Otol., Rhin. & Laryng. 46:1060 ( (Dec.) ) 1937. 5. Campbell, E. H.: Association of Acute Sinusitis and Acute Otitis Media in Infants and Children , Arch. Otolaryng. 16:829 ( (Dec.) ) 1932. 6. Fowler, E. P.: Incidence of Nasal Sinusitis with Diseases of the Ear , Arch. Otolaryng. 9:159 ( (Feb.) ) 1929. 7. Scott, C. E., and Lumsden, R. B., in Discussion on Otitis Media in Early Childhood (Under Five Years) , Proc. Roy. Soc. Med. 30:1293 ( (Aug.) ) 1937. 8. Kopetzky, S. J.: Purulent Otitis Media, Sinus Thrombosis and Suppuration of the Petrous Pyramid: Acute and Chronic Cases , Arch. Otolaryng. 28:626 ( (Oct.) ) 1938. 9. Hadjopoulos, L. G., and Bell, J. W., cited by Kopetzky.8 10. Bolotow, N. A.: Radical Mastoidectomy: Its Use in Treatment of Dangerous Types of Suppuration of the Temporal Bone , Arch. Otolaryng. 29:269 ( (Feb.) ) 1939. 11. Williams, H. J.: Diagnosis and Treatment of Diseases of the Ear in Children , J. A. M. A. 113:990 ( (Sept. 9) ) 1939. 12. Veeder, B. S., in discussion on Williams.11 13. Kulkin, S.: Acute Mastoiditis from the Surgical Point of View , Arch. Otolaryng. 29:306 ( (Feb.) ) 1939. 14. Ebbs, J. H., in Discussion of Otitis Media in Early Childhood (Under Five Years) , Proc. Roy. Soc. Med. 30:1293 ( (Aug.) ) 1937. 15. Griffin, E. A., cited by Kafka.1 16. Towson, C. E.: Aural Complications of Pneumonia in Children , J. Pediat. 11:77 ( (July) ) 1937. 17. Stuart, E. A.: Acute Suppurative Otitis Media: A Review of Cases Encountered During a Five Year Period , Arch. Otolaryng. 33:734 ( (June) ) 1941. 18. Ashley, R. E.: Surgical and Nonsurgical Care of the Chronically Discharging Middle Ear , Arch. Otolaryng. 33:993 ( (June) ) 1941. 19. Kriegsman, G., cited by Kafka.1 20. Johnson, H. P.: Study of One Hundred Consecutive Mastoidectomies, Maine General Hospital: Temperature After Mastoidectomy , Arch. Otolaryng. 19:660 ( (June) ) 1934. 21. Tumarkin, A.: A Contribution to the Study of Middle Ear Suppuration with Reference to the Pathology and Treatment of Cholesteatoma , J. Laryng. & Otol. 53:685 ( (Nov.) ) 22. 737 (Dec.) 1938. 23. Lange, cited by Kopetzky.8 24. Young, G., in discussion on Hastings.26 25. Persky, A. H.: The Problem of the Radical Mastoid: A Critical Analysis of One Hundred and Fifty-One Cases , Pennsylvania M. J. 42:231 ( (Dec.) ) 1938. 26. Ruedi, L.: Zur Klinik und Therapie des Mittelohrcholesteatoms , Schweiz. med. Wchnschr. 64:411 ( (May 12) ) 1934. 27. Hastings, S., in Discussion on the Operative Treatment of Chronic Mastoid Disease , Proc. Roy. Soc. Med. 31:331 ( (Dec.) ) 1937. 28. Hastings.26 29. McKenzie.28 30. Bolotow.10 31. Maxwell and Richter.29 32. McKenzie, W.: The Results of the Conservative Radical Operation or Attico-Antrotomy in Seventy Cases , J. Laryng. & Otol. 55:75 ( (Feb.) ) 1940. 33. Maxwell, J. H., and Richter, H. J.: Radical Mastoidectomy: Its Effect on Hearing , Arch. Otolaryng. 31:426 ( (March) ) 1940. 34. White, L. E., Jr.: Radical Operation of the Mastoid , Arch. Otolaryng. 8:32 ( (July) ) 1928. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

ACUTE AND CHRONIC MASTOIDITIS: CLINICAL ANALYSIS OF FIVE HUNDRED AND TWENTY-SIX CONSECUTIVE OPERATIONS

Archives of Otolaryngology , Volume 38 (1) – Jul 1, 1943

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Publisher
American Medical Association
Copyright
Copyright © 1943 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1943.00670040041005
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Abstract

Abstract This report consists of an analysis with observations of 526 consecutive operations for acute or chronic mastoiditis which were performed in the services of otology and pediatrics in the same hospital on 466 patients from 1930 to 1939 inclusive. No attempt was made to differentiate between patients treated with sulfonamide compounds and those not so treated, although patients receiving such therapy during the last few years were included. However, the much lower average in the number of operations during the last three years than during the first seven years may be due to the general use of these drugs. There were 342 mastoidectomies on 288 patients with acute mastoiditis and 179 radical mastoidectomies on 173 patients and 5 modified radical (Heath) mastoidectomies on 5 patients with chronic mastoiditis. Thus 65 per cent of the operations were for acute mastoiditis and 35 per cent for chronic. In addition to those mentioned, References 1. Kafka, M. M.: Mortality of Mastoiditis and Cerebral Complications with Review of 3,225 Cases of Mastoiditis, with Complications , Laryngoscope 45:790 ( (Oct.) ) 1935. 2. Lacy, N. E.: Recurring Mastoiditis , Kansas City M. J. 14:18 ( (Dec.) ) 1938. 3. Tomb, E. H.: Simple Mastoidectomy: A Critical Analysis of One Hundred Consecutive Cases , Arch. Otolaryng. 31:478 ( (March) ) 1940.Crossref 4. Kreutz, G. C., and Witter, G. L.: Observations in Three Hundred Cases of Acute Mastoiditis , Ann. Otol., Rhin. & Laryng. 46:1060 ( (Dec.) ) 1937. 5. Campbell, E. H.: Association of Acute Sinusitis and Acute Otitis Media in Infants and Children , Arch. Otolaryng. 16:829 ( (Dec.) ) 1932. 6. Fowler, E. P.: Incidence of Nasal Sinusitis with Diseases of the Ear , Arch. Otolaryng. 9:159 ( (Feb.) ) 1929. 7. Scott, C. E., and Lumsden, R. B., in Discussion on Otitis Media in Early Childhood (Under Five Years) , Proc. Roy. Soc. Med. 30:1293 ( (Aug.) ) 1937. 8. Kopetzky, S. J.: Purulent Otitis Media, Sinus Thrombosis and Suppuration of the Petrous Pyramid: Acute and Chronic Cases , Arch. Otolaryng. 28:626 ( (Oct.) ) 1938. 9. Hadjopoulos, L. G., and Bell, J. W., cited by Kopetzky.8 10. Bolotow, N. A.: Radical Mastoidectomy: Its Use in Treatment of Dangerous Types of Suppuration of the Temporal Bone , Arch. Otolaryng. 29:269 ( (Feb.) ) 1939. 11. Williams, H. J.: Diagnosis and Treatment of Diseases of the Ear in Children , J. A. M. A. 113:990 ( (Sept. 9) ) 1939. 12. Veeder, B. S., in discussion on Williams.11 13. Kulkin, S.: Acute Mastoiditis from the Surgical Point of View , Arch. Otolaryng. 29:306 ( (Feb.) ) 1939. 14. Ebbs, J. H., in Discussion of Otitis Media in Early Childhood (Under Five Years) , Proc. Roy. Soc. Med. 30:1293 ( (Aug.) ) 1937. 15. Griffin, E. A., cited by Kafka.1 16. Towson, C. E.: Aural Complications of Pneumonia in Children , J. Pediat. 11:77 ( (July) ) 1937. 17. Stuart, E. A.: Acute Suppurative Otitis Media: A Review of Cases Encountered During a Five Year Period , Arch. Otolaryng. 33:734 ( (June) ) 1941. 18. Ashley, R. E.: Surgical and Nonsurgical Care of the Chronically Discharging Middle Ear , Arch. Otolaryng. 33:993 ( (June) ) 1941. 19. Kriegsman, G., cited by Kafka.1 20. Johnson, H. P.: Study of One Hundred Consecutive Mastoidectomies, Maine General Hospital: Temperature After Mastoidectomy , Arch. Otolaryng. 19:660 ( (June) ) 1934. 21. Tumarkin, A.: A Contribution to the Study of Middle Ear Suppuration with Reference to the Pathology and Treatment of Cholesteatoma , J. Laryng. & Otol. 53:685 ( (Nov.) ) 22. 737 (Dec.) 1938. 23. Lange, cited by Kopetzky.8 24. Young, G., in discussion on Hastings.26 25. Persky, A. H.: The Problem of the Radical Mastoid: A Critical Analysis of One Hundred and Fifty-One Cases , Pennsylvania M. J. 42:231 ( (Dec.) ) 1938. 26. Ruedi, L.: Zur Klinik und Therapie des Mittelohrcholesteatoms , Schweiz. med. Wchnschr. 64:411 ( (May 12) ) 1934. 27. Hastings, S., in Discussion on the Operative Treatment of Chronic Mastoid Disease , Proc. Roy. Soc. Med. 31:331 ( (Dec.) ) 1937. 28. Hastings.26 29. McKenzie.28 30. Bolotow.10 31. Maxwell and Richter.29 32. McKenzie, W.: The Results of the Conservative Radical Operation or Attico-Antrotomy in Seventy Cases , J. Laryng. & Otol. 55:75 ( (Feb.) ) 1940. 33. Maxwell, J. H., and Richter, H. J.: Radical Mastoidectomy: Its Effect on Hearing , Arch. Otolaryng. 31:426 ( (March) ) 1940. 34. White, L. E., Jr.: Radical Operation of the Mastoid , Arch. Otolaryng. 8:32 ( (July) ) 1928.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jul 1, 1943

References