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Mr. I. K. K. T., aged 38, gives the following history: The patient's left ear began to discharge, as nearly as he can remember, when he was about 7 years old. It received no treatment at that time so far as he knows. When he was about 14 years old he had in this ear a severe attack of earache that grew worse day by day. The mastoid appeared to be involved; there was considerable swelling behind the ear and the pain became general over the side of the head and face. The patient kept his head bent over toward the right shoulder. A local physician (in Texas) was consulted and he said an operation might be necessary, but hesitated to attempt it because of inexperience. The pain became almost unbearable until at the end of about ten or twelve days the pus burst through. The pain and swelling gradually
Amberg E. SPONTANEOUS TYMPANOMASTOID EXENTERATION. JAMA. 1912;LVIII(17):1278–1279. doi:10.1001/jama.1912.04260040294013
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