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CHRONICMASTOIDITIS WITHEXACERBATION ANDFACIALPARALYSIS. DR. H. P. CAHILL, DR. R. L. GOODALE and DR. J. LENTINE.
An 18 year old boy was admitted to the hospital with a history of pain for five days, headache for thirty-six hours and a discharging from the right ear for five years. Five days before admission he had acute pain in the right ear which became progressively worse. Little discharge was noted the day before admission. There was no history of nausea, vomiting or chills. The temperature was 100 F. The patient was very dizzy and restless but responded on being examined. There was tenderness of the right mastoid with slight edema; also, an anterior-superior perforation of the membrana tympani. A horizontal nystagmus to the right was present. A fistula test was negative. He had no neurologic signs at this time. The patient