Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

ROENTGEN CHANGES IN THE PETROUS PORTION OF THE TEMPORAL BONE WITHOUT CLINICAL MANIFESTATIONS

ROENTGEN CHANGES IN THE PETROUS PORTION OF THE TEMPORAL BONE WITHOUT CLINICAL MANIFESTATIONS Abstract Since Gradenigo first described his classic triad, numerous authors have endeavored to offer explanations for this condition. Careful histologic study has added much to the knowledge of disturbances of the temporal bone. It is known that at least 80 per cent of the patients with Gradenigo's syndrome recover following simple mastoidectomy. In the 20 per cent who succumb, histopathologic study reveals that suppuration of the apex of the petrous portion of the temporal bone is more frequent than has been suspected. It has been argued by many that Gradenigo's syndrome is not a distinct clinical entity, owing to the lack of adequate anatomic and pathologic bases. Numerous attempts have been made to show that palsy of the sixth nerve is due to involvement in Dorello's canal (Vail1 and others), to venous congestion (Freisner and Druss,2 Ruskin,3 and others) or to localized meningeal irritation (Eagleton4). We recently References 1. Vail, H. H.: Vidian Neuralgia with Special Reference to the Eye and Orbital Pain in Suppuration of the Petrous Apex , Arch. Otolaryng. 17:212 ( (Feb.) ) 1933.Crossref 2. Freisner, I., and Druss, J. G.: Osteitis of the Petrous Pyramid of the Temporal Bone Associated with Paralysis of the External Rectus , Arch. Otolaryng. 12:342 ( (Sept) .) 1930.Crossref 3. Ruskin, S. L.: The Venous Circulation of the Petrous Bone, and Its Clinical Significance , Ann. Otol., Rhin. & Laryng. 42:961 (Dec.) 1933. 4. Eagleton, W. P.: Unlocking of the Petrous Pyramid for Localized Bulbar (Pontile) Meningitis Secondary to Suppuration of the Petrous Apex , Arch. Otolaryng. 13:386 ( (March) ) 1931. 5. Ersner, M. S., and Myers, D.: An Aid to the Diagnosis of Intracranial Complications Resulting from Venous Circulatory Disturbance of the Temporal Bone, Offered by X-Ray of Lateral Sinus and Jugular Foramina , Laryngoscope 43:800 ( (Oct.) ) 1933. 6. Petron in the following discussion is used to designate the apex of the petrous portion of the temporal bone. 7. Kopetzky, S., and Almour, R.: Suppuration of the Petrous Pyramid: Pathology, Symptomatology and Surgical Treatment , Ann. Otol., Rhin. & Laryng. 40:396 ( (June) ) 8. 922 (Sept.) 1931. 9. Druss, J. G.: Anatomy and Pathology of Petrositis , Laryngoscope 41:394 ( (June) ) 1931. 10. Eagelton, W. P.: (a) Localized Bulbar Cisternal Meningitis, Facial Pain and Sixth Nerve Palsy, and Their Relation to Caries of the Petrous Apex , Arch. Surg. 20:386 (March) 1930 11. footnote 4. 12. Profant, H. J.: Gradenigo's Syndrome with a Consideration of "Petrositis," Arch. Otolaryng. 13:347 ( (March) ) 1931. 13. Eagleton (footnotes 4 and 10a). 14. Smith, C. H.: Infections of the Petrous Pyramid , West Virginia M. J. 28:7 ( (Jan.) ) 1932. 15. Seydell, E. M.: Surgical Treatment of Suppuration of the Petrosal Pyramid , Ann. Otol., Rhin. & Laryng. 42:455 ( (June) ) 1933. 16. Lillie, H. I., and Williams, H. I.: Suppuration of the Petrous Pyramid , Arch. Otolaryng. 15:692 ( (May) ) 1932. 17. Taylor, H. F.: The Roentgen Findings in Suppuration of the Petrous Apex , Ann. Otol., Rhin. & Laryng. 40:367 ( (June) ) 1931. 18. Kopetzky, S. J.: Otitic Complications as They Occur in Every Day Otology , Pennsylvania M. J. 36:739 ( (July) ) 1933. 19. Taylor, H. K.: Suppuration of the Petrosal Pyramid: Roentgenologic Problems , Arch. Otolaryng. 19:458 ( (Oct.) ) 1933. 20. Quoted by Kopetzky and Almour.7 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

ROENTGEN CHANGES IN THE PETROUS PORTION OF THE TEMPORAL BONE WITHOUT CLINICAL MANIFESTATIONS

Loading next page...
 
/lp/american-medical-association/roentgen-changes-in-the-petrous-portion-of-the-temporal-bone-without-rT0U0ZaToP
Publisher
American Medical Association
Copyright
Copyright © 1934 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1934.03600050002001
Publisher site
See Article on Publisher Site

Abstract

Abstract Since Gradenigo first described his classic triad, numerous authors have endeavored to offer explanations for this condition. Careful histologic study has added much to the knowledge of disturbances of the temporal bone. It is known that at least 80 per cent of the patients with Gradenigo's syndrome recover following simple mastoidectomy. In the 20 per cent who succumb, histopathologic study reveals that suppuration of the apex of the petrous portion of the temporal bone is more frequent than has been suspected. It has been argued by many that Gradenigo's syndrome is not a distinct clinical entity, owing to the lack of adequate anatomic and pathologic bases. Numerous attempts have been made to show that palsy of the sixth nerve is due to involvement in Dorello's canal (Vail1 and others), to venous congestion (Freisner and Druss,2 Ruskin,3 and others) or to localized meningeal irritation (Eagleton4). We recently References 1. Vail, H. H.: Vidian Neuralgia with Special Reference to the Eye and Orbital Pain in Suppuration of the Petrous Apex , Arch. Otolaryng. 17:212 ( (Feb.) ) 1933.Crossref 2. Freisner, I., and Druss, J. G.: Osteitis of the Petrous Pyramid of the Temporal Bone Associated with Paralysis of the External Rectus , Arch. Otolaryng. 12:342 ( (Sept) .) 1930.Crossref 3. Ruskin, S. L.: The Venous Circulation of the Petrous Bone, and Its Clinical Significance , Ann. Otol., Rhin. & Laryng. 42:961 (Dec.) 1933. 4. Eagleton, W. P.: Unlocking of the Petrous Pyramid for Localized Bulbar (Pontile) Meningitis Secondary to Suppuration of the Petrous Apex , Arch. Otolaryng. 13:386 ( (March) ) 1931. 5. Ersner, M. S., and Myers, D.: An Aid to the Diagnosis of Intracranial Complications Resulting from Venous Circulatory Disturbance of the Temporal Bone, Offered by X-Ray of Lateral Sinus and Jugular Foramina , Laryngoscope 43:800 ( (Oct.) ) 1933. 6. Petron in the following discussion is used to designate the apex of the petrous portion of the temporal bone. 7. Kopetzky, S., and Almour, R.: Suppuration of the Petrous Pyramid: Pathology, Symptomatology and Surgical Treatment , Ann. Otol., Rhin. & Laryng. 40:396 ( (June) ) 8. 922 (Sept.) 1931. 9. Druss, J. G.: Anatomy and Pathology of Petrositis , Laryngoscope 41:394 ( (June) ) 1931. 10. Eagelton, W. P.: (a) Localized Bulbar Cisternal Meningitis, Facial Pain and Sixth Nerve Palsy, and Their Relation to Caries of the Petrous Apex , Arch. Surg. 20:386 (March) 1930 11. footnote 4. 12. Profant, H. J.: Gradenigo's Syndrome with a Consideration of "Petrositis," Arch. Otolaryng. 13:347 ( (March) ) 1931. 13. Eagleton (footnotes 4 and 10a). 14. Smith, C. H.: Infections of the Petrous Pyramid , West Virginia M. J. 28:7 ( (Jan.) ) 1932. 15. Seydell, E. M.: Surgical Treatment of Suppuration of the Petrosal Pyramid , Ann. Otol., Rhin. & Laryng. 42:455 ( (June) ) 1933. 16. Lillie, H. I., and Williams, H. I.: Suppuration of the Petrous Pyramid , Arch. Otolaryng. 15:692 ( (May) ) 1932. 17. Taylor, H. F.: The Roentgen Findings in Suppuration of the Petrous Apex , Ann. Otol., Rhin. & Laryng. 40:367 ( (June) ) 1931. 18. Kopetzky, S. J.: Otitic Complications as They Occur in Every Day Otology , Pennsylvania M. J. 36:739 ( (July) ) 1933. 19. Taylor, H. K.: Suppuration of the Petrosal Pyramid: Roentgenologic Problems , Arch. Otolaryng. 19:458 ( (Oct.) ) 1933. 20. Quoted by Kopetzky and Almour.7

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Nov 1, 1934

References