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Article
April 1928

A NEW AID IN THE DIAGNOSIS OF MASTOIDITIS

Author Affiliations

NEW YORK
From the Pathological Laboratories and Service of Dr. Friesner, Mount Sinai Hospital.

Arch Otolaryngol. 1928;7(4):317-320. doi:10.1001/archotol.1928.00620010337003
Abstract

It may be of interest to know what induced us to institute the investigation which we are reporting here. Some time ago, a woman, aged 52, came to us with a moderately acute inflammation of the middle ear. The landmarks in the tympanic membrane were not obliterated, and we did not feel that there was any indication for myringotomy. During the course of our observations, the evidences of inflammation of the ear disappeared. The light reflex returned, and the hearing became acute. The congestion about the hammer handle disappeared. Three weeks after the condition of the middle ear had returned to normal, the patient came back to the office with a tender, edematous swelling near the posterior border of the mastoid. At the operation, pus could not be observed macroscopically in the mastoid cavity. There was, however, a large erosion of bone; the sinus for an area of at least

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