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Article
September 21, 1912

THE OPERATIVE TREATMENT OF BRAIN ABSCESS OF OTITIC ORIGIN

JAMA. 1912;LIX(12):1096-1097. doi:10.1001/jama.1912.04270090340064

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Abstract

In dealing with the subject assigned to me in this symposium I shall detail the methods used by me in operating on and treating brain abscess complicating purulent middle-ear disease.

As most of the abscesses the otologist sees occur after a mastoid or middle-ear operation has been done, this type will be discussed first.

When a brain abscess is suspected following one or both of the above conditions and we find a stalk—"the pathway of infection"—leading from the tympanic cavity, aditus or roof of the mastoid antrum, it becomes a comparatively easy task to localize the pus collection by tracing the so-called stalk up to the abscess cavity, by director, knife or long narrow forceps; and when the pus is encountered, enlarging the original pathway of infection by cutting down on it from its dural entrance to the abscess cavity and wiping the cavity gently with sterile strips of gauze

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