Clinical record of a case of Suppurative Otitis Media showing many intracranial complications

Conclusions

• 1. When treating a case of acute mastoiditis with antibiotics and chemotherapy, sufficient doses should be given for a sufficient length of time after the temperature has come down to normal to avoid masking the symptoms and making the disease a chronic one.

• 2. When proper indications for operation are present mastoidectomy should be done to make the ear safe and to remove the source of potential danger to life.

• 3. When the sinus is found organised on operation it can be left as such and the antibiotics relied upon.

• 4. It is not necessary to operate on the labyrinth, in the first stage only mastoidectomy should be done and the patient put on rest and antibiotics relied upon. In most of the cases the labyrinth will recover.

• 5. The treatment of meningitis similarly is antibiotics and lumber puncture done at suitable times.

• 6. Where intramuscular penicillin fails to produce a desirable effect I.U. Penicillin should be given a trial.

• 7. The patient should be carefully watched for the toxic manifestations of antibiotics used.