保存的側頭骨炎根治手術に依り速に治癒した—電撃性側頭骨炎の1例

　所謂急性化膿性中耳炎は其の病勢の高度なる場合には側頭骨含気蜂窠炎と謂わんよりは寧ろ側頭骨炎である事は昭和26年の日本耳鼻咽喉科学会総会に於て概ね認められた所である。斯かる側頭骨炎の中で其の経過の最も激甚なる電撃型の治療は我々耳科医にとつて極めてむづかしい，

　本例は斯かる電撃型に対し仁保の提唱する保存的側頭骨炎根治手術を施行し，化学療法，抗生物質療法を併用して鼓膜を保存し，術後略々正常に近い聽力を保持し得たので鼓に報告し，保存的側頭骨炎根治手術，側頭骨炎根治手術の適応，後療法其の他に就て説明を加えんとするものである。

　TAKAHATA reports a case of mastoiditis with fulminating onset occurring in a boy, aged 13. The. patient has been affected with chronic otitis media of the right ear but the left was involved in present attack. Surgical intervention, made approximately 5 days after the onset of disease, revealed the presence of pus not only in the mastoid cells but also in the cells of petrous pyramid. The patient recovered with minimum loss of hearing. The author believes that in case of fulminating attacks of otitis media, immediate surgical intervention should be instituted instead of relying upon the effects of antibiotics and chemotherapeutics which may merely serve in rendering the disease to becomz chronic by natura.