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Article
March 2, 1901

BONY DEFECTS AND FISTULÆ IN THE EXTERNAL MEATUS.

JAMA. 1901;XXXVI(9):546-550. doi:10.1001/jama.1901.52470090010002b
Abstract

The occurrence of artificial communicating passages between the meatus and attic of the middle ear is, on the whole, little referred to in literature; it is mentioned, but not commented upon, in some of the larger text-books. Some illustrations of it are given in Politzer's "Beleuchtungsbilder des Trommelfells," etc. Yet it is not a rare lesion, as I have seen considerably over 20 instances, and can refer now to some 20 complete records. The last 12 cases were found amongst 2000 ear patients. The defect is, usually a fissure of variable size in the external wall of the attic, opening through the upper wall of the meatus above Shrapnell's membrane. In some instances it seemedto be a fistula instead of a complete gap, but it is not always possible to distinguish between two conditions.

Small defects are difficult to recognize by sight and may be found only by the use

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