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April 27, 1901

Anesthesia of Ear Drum.

JAMA. 1901;XXXVI(17):1192. doi:10.1001/jama.1901.02470170038017

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Memphis, Tenn., April 3, 1901.

To the Editor:  —In Dr. Henry Gradle's recent article on "Purulent Otitis, Its Treatment and Prevention by the Family Physician" (The Journal, March 30), in speaking of paracentesis of the drum membrane, he says that it is a painful procedure and the pain is not lessened by any of the local anesthetics. I would like to mention a combination of local anesthetics which I have found to act admirably in producing an anesthesia of the drum, permitting painless paracentesis. The mixture is equal parts of cocain, carbolic acid and menthol. It is attributed, I believe, to Bonain (Rev. Heb. de Lar., June 17, 1899), and I claim no originality in connection with it. I have used it many times this winter with invariable satisfaction. After cleansing and drying the canal, I have applied this mixture with a cotton-tippel applicator directly to that portion of the

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