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OSTEOMYELITIS ASSOCIATED WITH FRONTAL SINUSITIS:  VALUE OF PRESERVING ANTERIOR WALL WITH ATTACHED PERIOSTEUM: REPORT OF CASES

HILL HASTINGS, M.D
Arch Otolaryngol. 1931;13(2):181-186. doi:10.1001/archotol.1931.04230010023004.
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The title of this paper shows my reason for reporting the two cases. Osteomyelitis associated with frontal sinusitis is of common occurrence, and these cases would not be reported if it were not for the fact that gradual healing of the untouched inflamed bone is demonstrated. The "fulminating" fatal type of case occurs too frequently. For example, in Bulson's review of the literature1 fifty-five cases with thirty-seven deaths are recorded. Twenty-eight of the deaths occurred as complications of chronic infection of the frontal sinus, and—this is important to emphasize—twenty of these twenty-eight cases followed radical operative procedures. One can only guess how many more cases have terminated fatally and have not been reported. Three years ago I reported to the American Laryngological Association a case in which meningitis rapidly developed from an acute frontal osteomyelitis. The patient recovered, although nothing was done except to drain the frontal sinus; it

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