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The use of Peruvian balsam is certainly not new, but judging from inquiries that I have made, this valuable drug has not the general acceptance that its merit warrants.
At the completion of the mastoid operation and after the middle ear has been flushed through the aditus, the wound is tightly packed with a gauze pad saturated with a mixture of equal parts of balsam and alcohol. This is removed one or two minutes later and serves the double purpose of sterilizing the wound and checking oozing. The wound is then lightly packed with one-half inch strip gauze moistened in 1:5,000 solution of mercuric chloride and the balsam-alcohol mixture. Over this, plain gauze pads moistened in mercuric chloride solution are placed with rubber tissue over all and bandaged as usual. The first dressing is made forty-eight hours later, and this interval is observed for the first three dressings, at the
Leshure J. BALSAM OF PERU IN MASTOID SURGERY. JAMA. 1926;86(8):550. doi:10.1001/jama.1926.26720340001011a
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