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Fatal Meningitis in a Case of Otosclerosis Operated Upon Bilaterally

Fatal Meningitis in a Case of Otosclerosis Operated Upon Bilaterally Abstract In a patient with bilaterally operated otosclerosis, fatal meningitis originated from one ear. The left ear was operated in 1964. Fascial closure of the oval window was effective but the polytef (Teflon) tube had shifted from the optimal position. Infection from the right middle ear, operated upon in 1966, spread into the inner ear along the polyethylene strut which, owing to retraction of the drum, had been drawn slightly inside the vestibule. The pathway to the meninges was through the cochlear aqueduct. Both temporal bones showed large inactive and active otosclerotic foci extending through the cochlear capsule. References 1. Rutledge LJ, Lewis ML, Sanabria F: Fatal meningitis related to stapes operation . Arch Otolaryng 78:637-641, 1963.Crossref 2. Wolff D: Untoward sequelae eleven months following stapedectomy . Ann Otol 73:297-304, 1964. 3. Matz GJ, Lockhart HB, Lindsay JR: Meningitis following stapedectomy . Laryngoscope 78:56-63, 1968.Crossref 4. Brown JS: Meningitis following stapes surgery . Laryngoscope 77:1295-1303, 1967.Crossref 5. Schuknecht H: Temporal bone removal at autopsy . Arch Otolaryng 87:129-137, 1968.Crossref 6. Palva T, Dammert K: Human cochlear aqueduct . Acta Otolaryng , (suppl 246) , pp 1-58, 1969. 7. Palva T: Cochlear aqueduct in infants . Acta Otolaryng 70:83-94, 1970.Crossref 8. Linthicum FH: Histological evidence of the causes of failure in stapes surgery . Ann Otol 80:67-77, 1971. 9. Hough JVD: Partial stapedectomy: A physiological approach to stapedial ankylosis . JAMA 187: 697-702, 1964.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Fatal Meningitis in a Case of Otosclerosis Operated Upon Bilaterally

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Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1972.00770090204007
Publisher site
See Article on Publisher Site

Abstract

Abstract In a patient with bilaterally operated otosclerosis, fatal meningitis originated from one ear. The left ear was operated in 1964. Fascial closure of the oval window was effective but the polytef (Teflon) tube had shifted from the optimal position. Infection from the right middle ear, operated upon in 1966, spread into the inner ear along the polyethylene strut which, owing to retraction of the drum, had been drawn slightly inside the vestibule. The pathway to the meninges was through the cochlear aqueduct. Both temporal bones showed large inactive and active otosclerotic foci extending through the cochlear capsule. References 1. Rutledge LJ, Lewis ML, Sanabria F: Fatal meningitis related to stapes operation . Arch Otolaryng 78:637-641, 1963.Crossref 2. Wolff D: Untoward sequelae eleven months following stapedectomy . Ann Otol 73:297-304, 1964. 3. Matz GJ, Lockhart HB, Lindsay JR: Meningitis following stapedectomy . Laryngoscope 78:56-63, 1968.Crossref 4. Brown JS: Meningitis following stapes surgery . Laryngoscope 77:1295-1303, 1967.Crossref 5. Schuknecht H: Temporal bone removal at autopsy . Arch Otolaryng 87:129-137, 1968.Crossref 6. Palva T, Dammert K: Human cochlear aqueduct . Acta Otolaryng , (suppl 246) , pp 1-58, 1969. 7. Palva T: Cochlear aqueduct in infants . Acta Otolaryng 70:83-94, 1970.Crossref 8. Linthicum FH: Histological evidence of the causes of failure in stapes surgery . Ann Otol 80:67-77, 1971. 9. Hough JVD: Partial stapedectomy: A physiological approach to stapedial ankylosis . JAMA 187: 697-702, 1964.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Aug 1, 1972

References