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Article
January 2, 1904

THE GREAT VALUE OF DRAINAGE AND ICE IN THE EARLY STAGES OF MASTOIDITIS.

JAMA. 1904;XLII(1):14-18. doi:10.1001/jama.1904.92490460005001d
Abstract

At the last session of this Section I presented a paper1 on "Conservatism in Mastoiditis," in which 40 well-developed, advanced and some serious cases recently treated by free tympanic drainage and the use of ice over the mastoid without a failure were reported; the observation was also made that I believed over 50 per cent. of our present external operations could be avoided. The paper was followed by a spirited discussion during which many valuable points were brought out and some criticisms on my position were offered, but experience impels me to remain of the same, or a stronger, opinion. It also became manifest by the discussion that otologists do not yet agree as to the best course to pursue in treating the purely acute forms of this disease.

That conservatism has a place in acute mastoiditis is clear, but I emphatically desire it to be understood this year, as

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