Notwithstanding the numerous advances in pathology and surgical technic which have, as it were, crystallized into a definite form represented by the modern simple mastoid and radical operations, the question of the minor surgical procedures in acute otitis, and the detail of their application, is still as open now as was a few years ago the question whether or not they should be applied at all. As a matter of fact, acute otitis media is to this day considered a self-limited disease with typical, cyclical course and critical defervescences like pneumonia, by no less an authority than Zaufal. His school, in common with other German otologists, has statistics to show or, more properly, to make it appear, that spontaneous perforation is preferable to that made by the knife, that paracentesis is generally unnecessary, and that the results of expectant treatment are at least equal to those obtained by early surgical
FRIDENBERG P. EVACUATION AND DEPLETION OF THE TYMPANIC CAVITY AS AIDS TO DRAINAGE IN ACUTE MIDDLE-EAR SUPPURATION. JAMA. 1908;L(1):34–36. doi:10.1001/jama.1908.25310270034002g
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