The following case of long-standing middle ear disease, with mastoiditis, sinus thrombosis and metastatic infection in distant parts of the body, is presented as a horrible example. It occurs to me that poulticing a felon, starving a patient with appendicitis, and neglecting a mastoidectomy in antral disease represent the same stage of irrational, cowardly or villainous treatment. When we consider the number who lose their lives, the number who are crippled in hearing, and thus deprived of the advantages of social happiness and education, and, last of all, those who are partially invalided by the frequent exacerbations of the disease and its general toxemia, the indications for a prompt, adequate and effective mastoid operation become imperative. This patient has met with more of the mechanical and less of the intellectual and social ravages of this disease than many others in my experience. No criticism of the early treatment of
HOLMES B. CANALIZATION OF THE SIGMOID, THE LATERAL AND A PORTION OF THE SUPERIOR LONGITUDINAL SINUSES FOR MASTOIDITISOF TWENTY-ONE YEARS' STANDING, WITH SUBSEQUENT RE-ESTABLISHMENT OF A TEMPOROMANDIBULAR JOINT. JAMA. 1906;XLVI(2):99–101. doi:10.1001/jama.1906.62510290019001c
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