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April 1958

Synovial Otorrhea

AMA Arch Otolaryngol. 1958;67(4):456-457. doi:10.1001/archotol.1958.00730010468013

I would like to report an unusual fracture of the temporal bone complicated by persistent otorrhea and to discuss the importance of accurate identification of the discharging fluid in such an injury. The patient was encountered during a tour of duty as otolaryngologist with the U. S. Air Force and that service provided me with the facilities to manage the case and record the data.

The patient, a 29-year-old U. S. A. F. pilot, was seriously injured at 2:10 a. m. on July 25, 1953, while riding as guest passenger in an automobile driven by a friend. He was taken immediately to a neighboring U. S. Army Hospital, where he was treated for a compound fracture of the skull (petrosa) with a complete left facial nerve paralysis. He also had lacerations about the face, tongue, and cheek, and there was a (cerebrospinal fluid) otorrhea. Five days later, a tarsorraphy was

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