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A few years ago, when the mastoid process was first opened for the liberation of pus contained within its walls, it was regarded as an extremely hazardous procedure, necessitating the highest skill, and unwarrantable except as a dernier resort.
As the anatomical and pathological bearings of the disease become better understood, the operation assumed a less formidable appearance, and the process is now opened sufficiently early to save most cases of this nature.
Intra-cranial lesions following aural affections have a somewhat similar history, but our knowledge and plans of procedure are still in a primitive condition, and not sufficiently crystallized to warrant a sense of security, when radical and positive steps appear to be indicated.
With the hope of somewhat systematizing our present knowledge of this subject, I have been to the pains of collecting the data of 169 cases bearing on the topic, and no case has been admitted
ALLPORT F. PURULENT BRAIN DEPOSITS, AND PHLEBITIS AND THROMBOSIS OF THE CEREBRAL VEINS AND SINUSES FOLLOWING EAR DISEASE. JAMA. 1892;XIX(16):470–472. doi:10.1001/jama.1892.02420160024001i
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