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January 11, 1890

A CASE OF SCLEROSING MASTOIDITIS OCCURRING SUBSEQUENTLY TO PURULENT MASTOIDITIS INTERNA— OPENING OF MASTOID—EXPOSURE OF DURA MATER— RECOVERY.Read in the Section of Laryngology and Otology, at the Fortieth Annual Meeting of the American Medical Association, Newport, R. I., June 25, 1889.

Author Affiliations


JAMA. 1890;XIV(2):50-52. doi:10.1001/jama.1890.02410020014001c

Sclerosing or eburnating mastoiditis is a disease characterized chiefly by pain, continuous, grinding pain—pain so remorseless and incessant as to stamp upon the features a peculiar expression, appealing, yet hopeless, like that on the face of the Beatrice di Cenci. The pain centres in the mastoid, but radiates over the whole side of the head. I have seen the pain of mastoiditis eburnans closely simulated by the reflex pain of a diseased tooth; and in suspected cases an examination of the teeth ought to be made by a competent dentist.

The affection is comparatively rare in this country—at least not many cases have been reported in the journals. My own experience is limited to two cases, the first of which was reported at the meeting of the American Otological Society in July, 1884, and was that of a young lady who, after twelve months of treatment, local and constitutional, and

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