JAMA 100 Years Ago Section Editor: Jennifer Reiling, Assistant Editor.
DR. JAMES E. LOGAN, Kansas City, Mo., cited the case of a man, 48 years of age, who was shot in the right ear on Christmas day, 1896. The bullet, 38-caliber, passed through the fleshy portion of the right shoulder and entered the external meatus, lodging in the middle floor of the ear. Facial paralysis on the right side followed immediately. An operation was performed at once for the removal of the bullet, but without success. The middle ear began to suppurate while the patient was still in the hospital. The discharge stopped after six weeks. These attacks of suppuration came on at intervals, followed by periods of cessation, until 1902, after which time the suppurative process continued without interruption. Pain at times was very severe in the region of the ear and on the top of the head, but there were no other symptoms referable to the head, except the constant facial paralysis.
Bullet Wound of Mastoid; Operation; Recovery.. JAMA. 2006;296(5):598. doi:10.1001/jama.296.5.598-b