Abstract

Tuberculous infection of the mastoid is of clinical importance, particularly in infants and in children, and a study of the literature reveals that this disease has not received the consideration that has been accorded to other entities. In a discussion of mastoid infection, some mention must be made of the middle ear, as its association with the mastoid is intimate. Turner and Fraser 1 reported that in 1,797 cases of suppuration of the middle ear, of the patients under 15 years of age, 2 per cent were tuberculous; under 5 years, 9 per cent; under 2 years, 27 per cent and under 1 year, 50 per cent. McCart 2 found the greatest incidence between the ages of 2 and 5 years. According to Coates, 3 mastoiditis in infants, to be distinguished as a separate entity from otitis media, must mean infection of the antral mucosa, of the

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