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Article
June 1929

COLLEGE OF PHYSICIANS OF PHILADELPHIA, SECTION ON OTOLOGY AND LARYNGOLOGY

Arch Otolaryngol. 1929;9(6):705-707. doi:10.1001/archotol.1929.00620030737016

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Abstract

MASTOIDINFECTIONFOLLOWINGFURUNCULOSIS OF THEEXTERNALAUDITORYCANAL. By DR. E. B. GLEASON.

An attack of acute tonsillitis was followed, a week later, by a discharge from both ears and, four weeks later, by a swelling over the left mastoid. The left external auditory canal was completely occluded by swelling, so that the tympanic membrane could not be viewed. Apparently, the furunculosis was the result of a scanty discharge in the external canal, and the infection extended to the mastoid by way of the soft tissues or by the usual route.

At operation, the mastoid incision delivered 1 drachm (3.9 Gm.) of pus; a probe introduced into the canal released a quantity of pus. The mastoid cells were completely obliterated and the lateral sinus was covered by granulations but was not thrombosed. The recovery was uneventful. This is the usual course if healthy or unhealthy granulations are left

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