抄録
The patient, a 3 years 10 months old boy who was first seen on Feb. 8, 1968, caught a cold about 1 week prior to his visit to our hospital and complained of discharge from the left ear and fever, for Which treatment had been given by a nearby otorhinologist without improvement. He had been vomiting frequently since February 3 and was in a markedly debilitated condition when brought to our hospital.
Soon after birth the patient had bilateral acute suppurative otitis media and since then otorrhea has frequently occurred.
At admission watery discharge from the left ear was evident and, as the results of various tests, the pattern of fever and local findings were highly suspicious of intracranial complication, operation was immediately performed. At operation a bone defect was found in the roof of the antrum, exposing a granulomatous surface of dura mater in which a perforation was seen. Aprobe inserted through this perforated site revealed the presence of a subdural abscess. After draining the abscess and irrigating the cavity with antibiotic solution, the wound packed with gauze and left open. The postoperative course has been smooth and at present, 8 months after the operation no serious sequelae are observed. The child looks much better than before the operation and shows normal development.
