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August 1957

Conservative Management of Chronic Otitis Media

Author Affiliations

San Diego, Calif.
From the Department of Otolaryngology, San Diego County General Hospital.

AMA Arch Otolaryngol. 1957;66(2):170-171. doi:10.1001/archotol.1957.03830260056007

Conservative management of chronic otitis media controlled the infection in 70% of the last 100 cases reviewed in my private practice and from the otolaryngological department of the San Diego County General Hospital. Only those patients who have followed the recommended treatment and have been under my personal supervision are considered.

In this study, in order to be considered controlled, the infection must be eliminated and not more than a very scant nonpurulent moisture remain. An occasional short-lived flare-up may come with acute respiratory infections.

A thorough history and physical examination are done. This includes an audiogram, culture and sensitivity studies of the discharge, and x-rays of the mastoids and, if needed, other areas, e. g., sinuses and chest.

The general care of the patient is most important. Coexisting diseases, such as anemia and infections of the urinary tract, are treated by the referring physician or a colleague. A study

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