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UNTIL the advent of such powerful antibiotics as penicillin, streptomycin and aureomycin, surgeons did not dare after a radical mastoidectomy to cover entirely with a plastic skin flap a labyrinthine fistula or periphlebitic bony defect of the lateral sinus, caused by active chronic purulent mastoiditis.
In the case described here such a procedure combined with the use of antibiotics applied to both these lesions gave an excellent result and speeded healing.
REPORT OF CASE
S. S., a student at New York University aged 31, was first examined by me on Dec. 16, 1948. He complained of recurring discharge from the right ear since early childhood and deafness on this side. For the last several months prior to the examination, spells of dizziness appeared, accompanied with nausea, especially on sudden and rapid movements.Otoscopy of the right ear revealed a large granulation polyp in the bony part of the external meatus
DWORETZKY W. MODIFIED TECHNIC OF PLASTIC PROCEDURE IN RADICAL MASTOIDECTOMY: Report of Results in a Case of Circumscribed Labyrinthitis and Periphlebitis of the Lateral Sinus in the Course of Chronic Purulent Otitis Media with Cholesteatoma. Arch Otolaryngol. 1949;50(6):821–826. doi:10.1001/archotol.1949.00700010836015
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