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February 10, 1923


Author Affiliations

Presque Isle, Maine

JAMA. 1923;80(6):399-400. doi:10.1001/jama.1923.26430330003015d

That surgical mastoiditis may be a grave menace, without any syndrome that would be apparent to a casual examiner, was recently shown by Phillips and Friesner.1 My impression is that this is more apt to be found typically in adults than in children. The case here reported is, I feel, fairly representative of this condition. Also it is especially interesting from the standpoint of the duration of the process, which by history was three, and to my own observation two months.

REPORT OF CASE  R. J., aged 68, a farmer, seen first, Sept. 9, 1922, complained of deafness in the right ear. One month before he had experienced a sharp, sudden pain in the ear. The canal was washed with warm water, whereupon the pain ceased; but the patient had been deaf in the ear since that time. There had never since been any pain. There had never been