Abstract
THE INTRACRANIAL complications of mastoiditis have become a comparative rarity since the advent of the antimicrobials. Those of us who have seen a large ward in the Allegemeine Krankenhaus filled with patients with these complications, including several brain abscess cases, can testify to it. This change was well developed in a symposium on the subject at the Western Section of the American Laryngological, Rhinological and Otological Society, Inc., in January, 1955, and was discussed by a panel of neurologists, neurosurgeons, and otologists. They failed, however, to touch on what has long been a moot question—the proper surgical approach to brain abscess of otitic origin. It is well known that the proportion of brain abscesses secondary to mastoiditis is very high. Stuart and associates 1 in an excellent review of 125 cases report a large proportion to be found as complications of chronic middle-ear infections as against acute ones (3% of
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