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November 18, 1893

A CASE OF CARIOUS DESTRUCTION OF THE ENTIRE PYRAMID OF THE TEMPORAL BONE.Read in the Section on Laryngology and Otology, at the Forty-fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(21):759. doi:10.1001/jama.1893.02420730009002

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H. W., aged 12 years, came under observation on Dec. 30,1891. Both parents living and healthy. Of their nine children, three died in infancy, and one brother of 7 years, a year ago after an operation performed on the left mastoid.

The patient had chronic otorrhea from the left ear for about seven years, the sequelæ of scarlatina. Has been under the care of a number of physicians at different times. Five years ago, an operation on the mastoid had been performed.

Status: emaciated boy; temperature 102; right ear normal; fetid discharge from left ear. Walls of external canal swollen so that no speculum can be introduced. Above the mastoid an old cicatrix; the whole mastoid region edematous and painful upon pressure. Facial paresis of moderate degree. A close examination revealed no evidence of tuberculosis.

Operation on Dec. 31,1891. Opening of the petro-mastoid by the ordinary method. The external lamella

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