Transactions of the Section on Laryngology, Otology and Rhinology of the American Medical Association at the Annual Session
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1915 edition. Excerpt: ...Burnett, S. M.: Arch. Otol., 1880, ix. 23. Williams, c.= Arch. Otol., 12:24, xiii, 22. 24. Gruening, E.: Med. Rec., New York, 1881, xix, 634. It is interesting to recall that the history of osteomyelitis, in its surgical treatment especially, is much the same, as the operators used to content themselves with cutting down on the abscess under the periosteum and evacuating it, which is another analogy existing between the two diseases. REPORT OF CASES CAsi: 1.--L. G. W. G., aged 9, of good physique, had a family history negative for tuberculosis and syphilis. When first seen, June 27, 1913, the auricle was observed to be prominent, the skin over the mastoid soft, edematous and of a dusky red, painful on pressure only. Temperature 99. While the drum was normal in every way, it was incised and showed that nothing was in the tympanum. There had been no deafness, no tinnitus, nothing abnormal about the ear, except the swelling behind the auricle, for which alone relief was sought. As he was an only son, hardly ever out of his parents' sight and his every whim humored, it is reasonable to suppose that his failure to mention any trouble was due to its lack of existence. On operation, done that night, the entire mastoid was found to be softened and the antrum full of pus, which gushed out on incision into the periosteum. The next morning he got out of bed, four hours after operation, and was highly indignant at being kept in the hospital for several days. His temperature was never higher than 98.8 while there. The middle ear, in spite of being incised, never discharged, and healed in four days, and he never complained of the slightest discomfort, save the soreness over the mastoid attachment of the sternomastoid muscle, severed at operation....
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