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April 1926


Arch Otolaryngol. 1926;3(4):353-356. doi:10.1001/archotol.1926.00580010379005


History.—A man, aged 37, was referred to our office on April 25, 1925. At the age of 9, he developed acute otitis media of the right ear and a fistula of the right mastoid which discharged for a considerable time; the fistula then healed spontaneously but the middle ear discharged continuously since. Eight years prior to examination, at the age of 29, the patient developed an acute exacerbation followed by an increased discharge of pus, and a complete paralysis of the entire right side of the face. After a time the ear discharge lessened, but the facial paralysis remained. During the last few years the patient suffered greatly from severe headaches. For three weeks before examination, the discharge from the ear increased, and he suffered from earaches; eight days before coming to us, a swelling developed at the back of his right ear (over the

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