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October 29, 1892

TREPHINING FOR MASTOID ABSCESS; WITH NOTES OF THIRTY-TWO CASES OPERATED ON AMONG 3,400 PATIENTS SEEN IN 1889, 1890 AND 1891.Read before the Section of Laryngology and Otology, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich, June, 1892.

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JAMA. 1892;XIX(18):508-509. doi:10.1001/jama.1892.02420180002001a

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It is natural that otology should have shared in the general advance of surgery, and that there should be increasing resort to surgical measures in all aural cases where experience has shown that all milder measures are slow or inefficient. How far we will be justified in operative interference in the lines where other measures can often succeed, if persistently employed, or where failure would mean nothing very serious to the patient, are questions which we can leave to the gradual growth of experience. But there is a large and growing group of conditions where we have less free choice. There are cases where not a pound or even a ton of belated cure will avail; where the indications for operation may appear once only accompanied by conditions favorable to success, and in failing to take advantage of that opportunity we may seriously or fatally betray the confidence which has

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