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May 1956


AMA Arch Otolaryngol. 1956;63(5):529. doi:10.1001/archotol.1956.03830110071007

THE FOLLOWING case report is presented primarily to forewarn otologists of the insidious danger of using succinylcholine-drip muscle-relaxant anesthesia in any surgical procedure where the identification of the seventh cranial nerve is important to its preservation.

REPORT OF CASE  A 32-year-old woman had chronic left mastoiditis of 10 years' duration. The history and findings follow: severe headache for one month, dizziness and nausea for two weeks associated with a positive fistula test.A radical mastoidectomy was performed on Nov. 7th, 1955. At operation, the mastoid bone was found to be eburnated. No cells were encountered; the posterior auditory canal wall and the adjoining mastoid area were taken down to the bridge simultaneously by means of gouges and mallet. As the bridge was being thinned down, what appeared to be a mastoid cell was uncovered 1 mm. below the horizontal semicircular canal and 1 mm. behind the crest of the facial

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