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June 1937


Arch Otolaryngol. 1937;25(6):696. doi:10.1001/archotol.1937.00650010790012

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To the Editor:—Dr. Myerson in an article entitled "A Proposed Operation for Osteomyelitis of the Inferior Aspect of the Petrous Pyramid" (Arch. Otolaryng. 25:373 [April] 1937) cited a case of mine, of which he said: "Pus drained from the nasopharynx for five years...."

This is not in accord with the facts, and the impression that a lesion could or would be allowed to drain for so long a period should not be allowed to pass without correction.

This patient was seen in 1930; she had been sick for many weeks and had had a radical operation on the mastoid. A pharyngeal fistula drained for four weeks, and in spite of this drainage meningitis developed, with streptococci in the spinal fluid.

At operation an enormous area of necrosis on the middle fossa side of the apex was found. Drainage was established, and the patient recovered.

Roentgen films taken five years after

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