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It is not my purpose in this short communication to go extensively into the subject of the management of cases of chronic suppurating otitis media, but only to emphasize a form of treatment that has of late received a decided impetus, and which in many cases offers us the only rational treatment for this obstinate affection, one that is considered so unsatisfactory by many that we, who have these cases to treat, are condoled and sympathized with for being willing to devote so much time in the treatment of affections, the final issue of which is so uncertain.
Much depends upon the seat of the inflammation, whether it is in the epitympanic or in the lower tympanic cavity, they being characterized by somewhat different symptoms. In suppurative inflammations affecting the epitympanic cavity or attic, the perforations are situated in the membrane flaccida or the membrane of Shrapnell, and they are
BRYAN JH. THE SURGICAL TREATMENT OF CHRONIC SUPPURATING OTITIS MEDIA. JAMA. 1895;XXV(17):700–704. doi:10.1001/jama.1895.02430430012002b
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