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February 3, 1912


Author Affiliations

Professor of Laryngology and Otology, Georgetown University WASHINGTON, D. C.

JAMA. 1912;LVIII(5):325-328. doi:10.1001/jama.1912.04260020009003

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What to do for his patients with chronic discharging ears has been long a troublesome question to the general practitioner. He has always among his clientele a number of these cases, which have persisted for years, some of them despite the most earnest efforts to bring about a cure.

To have an ear attended with a constant secretion of purulent matter presenting at the external auditory meatus, especially if it be foul-smelling, is a disgusting affliction, from which the unhappy subject naturally yearns to be relieved. But the esthetic discomfort, though great, is the least of the disadvantages of such a condition.

A continually suppurating ear means the persistence of a destructive process going on in a physiologically important portion of the auditory organ. The middle ear cavity is essentially concerned in sound transmission, and it is impossible for it to be long the scat of a suppurative process without

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