Topic
Petrositis
About: Petrositis is a research topic. Over the lifetime, 111 publications have been published within this topic receiving 809 citations.
Papers published on a yearly basis
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Papers
TL;DR: In this series of eight cases of petrous apicitis, it is evident that petrositis cannot be equated with Gradenigo's triad (otitis, abducens paralysis, and deep pain) since none of the cases manifested with the classical syndrome.
Abstract: Although petrous apicitis was a frequent occurrence in the first half of this century, it has become an uncommon disease because of the widespread use of antibiotics for otitis media. In this series of eight cases of petrous apicitis it is evident that petrositis cannot be equated with Gradenigo's triad (otitis, abducens paralysis, and deep pain) since none of the cases manifested with the classical syndrome. Abducens paralysis was seen in only two of the eight cases. Deep facial or ear pain was present in four of the eight cases and appeared to be the most useful symptom in the diagnosis of petrositis. Four of the eight cases were discovered only after previous, unsuccessful surgical procedures. Chronic petrous apicitis may be occult and manifest only after failure to control suppuration by conventional tympanomastoid surgery. When petrositis is suspected, conventional x-ray study may show bone erosion and asymmetric clouding of the petrous tip. Computed tomographic scanning was most useful in the delineation of bone destruction and of the apex. When the diagnosis of petrous apicitis is made, aggressive surgical drainage is indicated.
97 citations
TL;DR: The time has now arrived when surgical exenteration of the pathologic focus should replace drainage of the accumulated pus and be the goal of surgical intervention.
Abstract: In 1936 I1published a preliminary report on a new technic for complete apicectomy. I desire here to establish the rationale of this technic and also to discuss the compelling requirements for such a procedure. The time has now arrived when surgical exenteration of the pathologic focus should replace drainage of the accumulated pus and be the goal of surgical intervention. Petrositis is an inflammation of the petrous portion of the temporal bone, as mastoiditis is an inflammation of the mastoid portion of this bone, but, unlike the definitive term mastoiditis, the term petrositis is too broad and vague. From a surgical point of view the petrous pyramid differs from the mastoid process in that the former is crowded with vitally important anatomic structures. The term petrositis is meaningless to the otologist if he is to intervene surgically. In mastoiditis, even though the suppurative process may involve a small portion
54 citations
Journal Article•
TL;DR: A case of petrositis is presented and the importance of modern radiological techniques in its diagnosis and management is stressed to stress the need for adequate surgical drainage.
Abstract: In 1907, Gradenigo described the syndrome of constant otorrhea, headache, and diplopia which he attributed to inflammation of the petrous apex. In 1908, Baldenweck described the pathology of petrositis. Renewed interest in this syndrome occurred 20 years later through the papers of Eagleton, Kopetsky and Almour, Frenckner, and Ramadier. Various surgical approaches were described during the 1930's by Eagleton, Frenckner, Ramadier, and on this continent by Lempert. In 1932, Lillie and Williams reported two cases of petrositis from the Mayo Clinic. Stacey Guild in 1935 and John Lindsay in 1938 reported on the pathology of petrositis in post mortem cases. After the advance of chemotherapy, Thornell and Williams in 1946, emphasized the need for adequate surgical drainage. In 1958 DeWeese reported three cases of petrositis with the admonition "Lest we forget that this condition still occurs". The purpose of this paper is to present a case of petrositis and to stress the importance of modern radiological techniques in its diagnosis and management.
45 citations
TL;DR: In this paper, some Remarks on the Treatment of Apicitis (Petrositis) with or without Gradenigo's Syndrome are given, with and without Gradenstein's Syndrome.
Abstract: (1932). Some Remarks on the Treatment of Apicitis (Petrositis) with or without Gradenigo's Syndrome. Acta Oto-Laryngologica: Vol. 17, No. 1, pp. 97-120.
38 citations
TL;DR: The incentive to the writing of this paper was an analysis of a second case with this syndrome, in which meningitis developed and the patient died; an autopsy was performed, and the temporal bone was removed with the corresponding side of the sella and cavernous sinus.
Abstract: In 1904 Gradenigo called attention to a definite clinical entity, namely, a suppurative otitis media complicated by involvement of the abducens and trigeminus nerves on the corresponding side. In the February, 1924, issue of the Laryngoscope , I reported a case with this triad; the patient recovered after a simple mastoidectomy. The incentive to the writing of this paper was an analysis of a second case with this syndrome, in which meningitis developed and the patient died; an autopsy was performed, and the temporal bone was removed with the corresponding side of the sella and cavernous sinus. This and two other cases stimulated anatomic studies of the petrous cells and adjacent structures at the apex. I made dissections, therefore, of the temporal bones of 5, 6 and 7 month fetuses, two full term infants and fifty adults. One must consider the anatomy of the petrous bone and the structures at its
36 citations
Related Topics (5)
Performance Metrics
| Year | Papers |
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| 2021 | 1 |
| 2020 | 2 |
| 2019 | 4 |
| 2018 | 4 |
| 2017 | 6 |
| 2016 | 2 |