Abstract

My brother, Ross Hall Skillern, 1 recently reported a death following an extensive suppurative frontal sinusitis before the Triological Society in San Francisco, and I reported a death in a similar case at a meeting of the Eastern Section of the same society last winter in Washington, D. C. I shall now describe a recovery from the same condition. I believe this is one of the few cases—I can find mention of only five others 2 —in which the patient has been reported as living following the spreading of the osteomyelitic process after a radical operation for the cure of empyemic frontal sinusitis. There are two main divisions of osteomyelitis: one which apparently occurs spontaneously, with a slow course, and tends to self-limitation, and the other a malignant form. The latter is more or less diffuse, and usually follows traumatism. It causes softening of the bony structure, and spreads through the canals of

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