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September 15, 1923

Discussion on Paper of Dr. Boyd-Snee.

JAMA. 1923;81(11):939. doi:10.1001/jama.1923.02650110069028

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—In the discussion on the paper by Dr. Boyd-Snee, published last week, the following was accidentally omitted:

Dr. Austin A. Hayden, Chicago:  The paper contemplates a radical change in the indications for operation in mastoid disease. The following symptoms ordinarily lead to mastoid operation First, a history of nose and throat infection with the occurrence of pain in the ear and tenderness over the mastoid, a bulging drum, and general symptoms of absorption. That includes temperature, malaise, vertigo, joint infection, heart infection, etc. Up to the present time perhaps the pain and tenderness in the course of an acute otitis media have been given more attention than any one symptom in the diagnosis or decision for operative interference. Scant attention had been paid to the character of the exudate from the tympanic cavity. Now, to subvert these findings almost entirely to the bacteriologic findings in the exudate from the tympanic

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