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CHICAGO LARYNGOLOGICAL AND OTOLOGICAL SOCIETY
G. HENRY MUNDT, M.D.
Arch Otolaryngol. 1943;37(5):752-754.
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Cricopharyngeus Muscle: A Roentgenologic Demonstration. DR. FREDERIC E. TEMPLETON (by invitation).
Anaerobes in Cranial Osteomyelitis. DR. THOMAS C. GALLOWAY, Evanston, Ill.
The usual explanation of cranial osteomyelitis on the basis of thrombophlebitis does not state (1) why involvement of the maxilla and other compact bone may be so serious or (2) why fulminating infection is more likely to follow minor intervention. The characteristics of such an invasion might be accounted for by the spread of microaerophilic streptococci along the periosteum, as Meleney demonstrated them burrowing along facial planes; a minor operative procedure would make a covered focus in which anaerobic organisms could grow well. When, with proper technic, I have looked carefully for these organisms in cultures of material from the depth of the lesion or the advancing border of the disease, I have nearly always found them. Nine cases are reported.
Anaerobes seem to be the primary invaders. That
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