THE PATHOLOGY OF MASTOIDITIS IN INFANTS

Abstract
The fact has been established1 that there is a definite clinical relationship in infants between otitis media and mastoiditis and certain systemic manifestations, such as increased temperature, diarrhea, vomiting, loss of weight and athrepsia. In a certain number of these patients, the performance of either a unilateral or a bilateral mastoidectomy, in which free postauricular drainage has been established and maintained until all symptoms of involvement of the middle ear and mastoid have subsided has brought about marked improvement and eventually complete recovery. I was especially interested in seeking an aedquate explanation of this phenomenon in the microscopic changes that the mastoid tissue had undergone during the course of these infections. With this in mind, I have examined the material removed from seventy-one infant mastoids —thirty-nine patients. The operations were performed by Dr. H. W. Lyman, Dr. L. E. Freimuth and myself at the St. Louis

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