從來の側頭骨，頭蓋骨々髓炎の1例に就て

　1．緒言

　現在私達は，從來言われている慢性側頭骨々髓炎の典型的な症例に遭遇して治療に当つている．これは次第に進行した側頭骨々髓炎が，靜脈洞血栓を起し，之により敗血症を惹起し，更に頭蓋扁平骨の縫合を越えて後頭骨及び頭頂骨に，或いは頭蓋底に迄病変を及ぼし，辛じて硬腦膜の防波堤に支えられて露命をつないでいた興味深い1例であるので茲に報告する次第である．

Tesuka reports a case of cholesteatomatous otitis media, in which the disease of long stan-ding character, that remained dormant for num-ber of years without proper care, suddenly took a turn of course to involve various cranial bo-nes, such as temporal, occipital, parietal and other basal bones of the skull, and to cause thrombosis of sigmoid sinus with formation of cholesteatomatous pearls within that cavity. These involvements of bones were clearly osteitis and endosttitis; but, in such circemstances the customary diagnosis in the field of otolaryngology would be merely, mastoiditis, sigmoid sinus thrombosis and general septicemia without refe-rence to ostetitis and endostitis in the least. In order to grasp the facts in the situation and to facilitate the treatment thereof, which would include that of general surgery, the author em-phasizes the need of mentioning osteitis and endostitis along with the diagnosis which is cu-stomary in use.