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Abstract In a search of the literature, I have been unable to find a report of a case in which recovery occurred after a bilateral sinus and jugular resection for septic thrombosis. The statement has been made by several authorities that a bilateral jugular resection would be fatal, due to the lack of sufficient return flow of blood from the brain. The fortunate result in my case indicates that such a procedure is not necessarily a fatal one. REPORT OF CASE W. A., a boy, aged 8 years, was seen on Jan. 2, 1925. Seven days prior to examination he developed a severe grip-like cold, with pain in the left ear. After three days, rupture occurred with drainage of thin, yellow pus. This boy had been operated on by me nine months previously for acute mastoiditis, with complete recovery and with normal tympanic membrane and normal hearing. The old scar became References 1. Whitehead, A. L.: Thrombosis of Lateral Sinus Extending Beyond Torcular; Occipital Subperiosteal , Brit. Roy. Soc., Otological Section , (December) , 1908. 2. Baldwin, J. F.: Synchronous Ligation of both Internal Jugulars , Ann. Surg. 36:394, 1902.Crossref 3. Ewald, C.: Tod unter vasomotorische Storungen nach Resektion bieder Venae jugulares internae , Wien klin. Rundschau. 14:673, 1900. 4. Dangel, Max: Ueber die Unterbindung den Vena jugularis interna. Ein Fall von doppelseitiger Unterbindung , Beitr. z. klin. Chir. 16:495, 1905. 5. Duval: Ligature des deux jugulaires internes , Bull. et mém. Soc. de chir. de Paris 35:224, 1909. 6. LeGrand: Un case de ligature bilateral des jugulaires internes , Normandie méd. 33:58, 1922. 7. Gruening, E.: Case of Bilateral Thrombosis of Sigmoid Sinus. Recovery . Tr. Am. Otol. Soc. 9 and 10:518-520, 1905-1907. 8. Smith, C. H.: Double Mastoid with Septic Sinus Thrombosis , New York M. J. 101-407, 1915. 9. Stickney, O. D.: Bilateral Acute Suppurative Otitis Media with Symptoms of Sinus Thrombosis , Laryngoscope 29:90, 1919. 10. Tobey, H. G.: Double Acute Suppurative Mastoiditis with Symptoms of Sinus Phlebitis or Thrombosis , Tr. Am. Laryng., Rhinol. & Otol. Soc. 29:6, 1923. 11. Dausend, J. A.: Ein Fall doppelseitiger Sinus thrombose , Beitr. z. Anat. Physiol., Path. u. Therap. d. Ohres. 4:394, 1910-1911. 12. Schlegel, G.: Ein Fall von doppelseitiger Sinus thrombose, mit ein sitige jugularis Unterbindung , Arch. f. Ohrenh. 69:176, 1906. 13. Kloestadt: Ztschr. f. Laryngol. (November) , 1924.
Archives of Otolaryngology – American Medical Association
Published: Jul 1, 1926
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