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THEMANAGEMENT OFACUTESUPPURATIVEOTITISMEDIA IN THEHOME. Presented by DR. FRANCIS R. PACKARD.
In order to stimulate discussion, and in the attempt to secure some unity of method in this condition, Dr. Packard spoke on this subject. It was admitted by all that prompt and adequate incision of the tympanic membrane is advisable whenever there is distinct evidence of middle ear abscess. The following home treatment was outlined:
1. Early myringotomy.
2. Gentle instillation of cleansing solution and suction of ear secretion, using a glass pipet.
3. Drying of the ear following irrigation.
4. Most any sterile solution will do for cleansing, such as boric acid, physiologic sodium chloride solution, weak phenol (carbolic acid), etc.
5. The use of heat for pain when the mastoid is not involved.
6. The use of cold when there is impending mastoiditis.
7. Secondary myringotomy if necessary.
DISCUSSION
DR. L.