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Among the most troublesome and dangerous affections of the middle-ear we daily meet with, chronic suppuration must be mentioned as requiring our most energetic efforts towards effecting a cure. It is not only the unpleasantness of the mostly offensive discharge, although this is usually the cause of the patient's applying to us, but the actual danger of metastasis, that even when the discharge is flowing freely, always exists, which calls on us to use every means in our power not only to stop the discharge, but also to remove the cause of it. The danger is owing principally to the retention of smaller or larger quantities of pus in the cells of the mastoid process and it is very frequently, especially when the opening in the drum is not large, impossible to remove every particle of pus by syringing. This accumulation gets inspissated in the adjoining cells of the mastoid
BERMANN I. THE USE OF LACTIC ACID IN CHRONIC SUPPURATIVE OTITIS. Read before the Medical Society of the District of Columbia, March 7, 1888. JAMA. 1888;XI(6):195–196. doi:10.1001/jama.1888.02400580015002d
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