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OSTEOMYELITIS OF THE SPHENOID BONE: A REPORT OF TWO CASES

OSTEOMYELITIS OF THE SPHENOID BONE: A REPORT OF TWO CASES Abstract The ability of the sphenoid bone to defend itself usually prevents the onset of osteomyelitis and tends to limit extension when the bone is invaded. Consequently, a review of medical literature reveals few reported cases. Such cases as are reported appear chiefly in the literature of the last seven years and parallel the careful studies of disease in the base of the skull made by trained clinicians seeking to solve baffling clinical problems by further study of the pathologic anatomy of this region. Since osteomyelitis of the sphenoid bone occasionally occurs, physicians should be prepared to interpret its onset, recognize its symptoms and consider therapeutic possibilities. Insufficient knowledge of disease in this relatively inaccessible region, necropsy permits of restricted character and the actual relative rarity of the condition have contributed to the limitation of case reports. Eagleton1 commented on infection of the base of the sphenoid as follows: The pattern References 1. Eagleton, Wells P.: Meningitis: Result of Disease of the Petrous Apex and Sphenoidal Basis , Surg., Gynec. & Obst. 60:586-587 ( (Feb. 15) ) 1935. 2. Pickworth, F. A.: Organisms in Chronic Bone Infections , J. Laryng. & Otol. 50:206-210 ( (March) ) 1935. 3. Faulkner, E. Ross, in Jackson, C., and Coates, G. M.: The Nose, Throat, and Ear and Their Diseases , Philadelphia, W. B. Saunders Company, 1929. 4. Kaufman, A., and Hartmere, S. J.: Latent Osteomyelitis of the Sphenoid Reactivated by Trauma with Death from Meningitis , Laryngoscope 44:477-487 ( (June) ) 1934. 5. Blumenthal, B.: Sphenoid Osteomyelitis: Case Report , Ztschr. f. Laryng., Rhin., Otol. 17:335-337 ( (Jan.) ) 1929. 6. Flatau, T. S.: Un caso di carie delle pareti del seno sphenoidale , Arch. ital di laryng. 13:26-28, 1893. 7. Leuch, O.: Osteomyelitis Acuta des Os sphénoidale , Basel, L. B. Schwabe & Co., 1920. 8. Hesse, Walter: An Etiologic Study of Osteomyelitis of the Sphenoid: A Report of Seven Cases , Arch. f. Ohren-, Nasen-u. Kehlkopfh. 137:94-104, 1933. 9. Grant, A. L., Jr.: Acute Abscess of Sphenoid Sinus Rupturing into the Pituitary Fossa: Autopsy Report , Laryngoscope 41:842-844 ( (Dec.) ) 1931. 10. This date in review marks the first clinical evidence of reactivation of old infection in the left sphenoid sinus, which may have been a basis for previous attacks of asthma and responsible for the beginning of a whole new chain of symptoms. 11. Besredka's antivirus is a bacterial antigen prepared from staphylococci, streptococci and colon bacilli by growing them in special broth until the products of metabolism are so concentrated that the growth of the bacteria is no longer possible. The culture is then filtered through a sterile Berkefeld filter to remove all bacteria. It is used subcutaneously, intradermally or as wet dressings to inhibit the growth of specific organisms. 12. The formula for the Ringer's solution with dextrose was 7 Gm. of sodium chloride, 0.25 Gm. of calcium chloride and 0.3 Gm. of potassium chloride, with 5 per cent (50 Gm.) of dextrose per liter. 13. Batson, Oscar V.: The Venous Circulation of the Head, Graduate Lecture, American Academy of Ophthalmology and Otolaryngology, 1935 (unpublished). http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

OSTEOMYELITIS OF THE SPHENOID BONE: A REPORT OF TWO CASES

Archives of Otolaryngology , Volume 25 (1) – Jan 1, 1937

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Publisher
American Medical Association
Copyright
Copyright © 1937 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1937.00650010009001
Publisher site
See Article on Publisher Site

Abstract

Abstract The ability of the sphenoid bone to defend itself usually prevents the onset of osteomyelitis and tends to limit extension when the bone is invaded. Consequently, a review of medical literature reveals few reported cases. Such cases as are reported appear chiefly in the literature of the last seven years and parallel the careful studies of disease in the base of the skull made by trained clinicians seeking to solve baffling clinical problems by further study of the pathologic anatomy of this region. Since osteomyelitis of the sphenoid bone occasionally occurs, physicians should be prepared to interpret its onset, recognize its symptoms and consider therapeutic possibilities. Insufficient knowledge of disease in this relatively inaccessible region, necropsy permits of restricted character and the actual relative rarity of the condition have contributed to the limitation of case reports. Eagleton1 commented on infection of the base of the sphenoid as follows: The pattern References 1. Eagleton, Wells P.: Meningitis: Result of Disease of the Petrous Apex and Sphenoidal Basis , Surg., Gynec. & Obst. 60:586-587 ( (Feb. 15) ) 1935. 2. Pickworth, F. A.: Organisms in Chronic Bone Infections , J. Laryng. & Otol. 50:206-210 ( (March) ) 1935. 3. Faulkner, E. Ross, in Jackson, C., and Coates, G. M.: The Nose, Throat, and Ear and Their Diseases , Philadelphia, W. B. Saunders Company, 1929. 4. Kaufman, A., and Hartmere, S. J.: Latent Osteomyelitis of the Sphenoid Reactivated by Trauma with Death from Meningitis , Laryngoscope 44:477-487 ( (June) ) 1934. 5. Blumenthal, B.: Sphenoid Osteomyelitis: Case Report , Ztschr. f. Laryng., Rhin., Otol. 17:335-337 ( (Jan.) ) 1929. 6. Flatau, T. S.: Un caso di carie delle pareti del seno sphenoidale , Arch. ital di laryng. 13:26-28, 1893. 7. Leuch, O.: Osteomyelitis Acuta des Os sphénoidale , Basel, L. B. Schwabe & Co., 1920. 8. Hesse, Walter: An Etiologic Study of Osteomyelitis of the Sphenoid: A Report of Seven Cases , Arch. f. Ohren-, Nasen-u. Kehlkopfh. 137:94-104, 1933. 9. Grant, A. L., Jr.: Acute Abscess of Sphenoid Sinus Rupturing into the Pituitary Fossa: Autopsy Report , Laryngoscope 41:842-844 ( (Dec.) ) 1931. 10. This date in review marks the first clinical evidence of reactivation of old infection in the left sphenoid sinus, which may have been a basis for previous attacks of asthma and responsible for the beginning of a whole new chain of symptoms. 11. Besredka's antivirus is a bacterial antigen prepared from staphylococci, streptococci and colon bacilli by growing them in special broth until the products of metabolism are so concentrated that the growth of the bacteria is no longer possible. The culture is then filtered through a sterile Berkefeld filter to remove all bacteria. It is used subcutaneously, intradermally or as wet dressings to inhibit the growth of specific organisms. 12. The formula for the Ringer's solution with dextrose was 7 Gm. of sodium chloride, 0.25 Gm. of calcium chloride and 0.3 Gm. of potassium chloride, with 5 per cent (50 Gm.) of dextrose per liter. 13. Batson, Oscar V.: The Venous Circulation of the Head, Graduate Lecture, American Academy of Ophthalmology and Otolaryngology, 1935 (unpublished).

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jan 1, 1937

References