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January 1966

The Resident's Page

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Arch Otolaryngol. 1966;83(1):64-67. doi:10.1001/archotol.1966.00760020066021

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J. R. CHANDLER, MD, MIAMI, FLA  A 30-year-old secretary had had a wartlike growth removed from the right side of her nose several times in the preceding five months. It continued to crust and had begun to be unsightly and annoying.Examination revealed a firm rough-textured grayish papilliferous lesion arising inside the nasal vestibule and extending to the membranous columella from its tip down to its junction with the lip. It was nontender, and no nodes were palpable in her neck.The lesion was completely excised and the defect closed with a rotation pedicle flap and split thickness skin. Fig 1 shows a section of the lesion.A 52-year-old woman had been treated by several physicians for a persistent right ear infection for the previous six months. Intensive local therapy, cultures, sensitivity studies, and several courses of specific antibiotics had been to no avail. The purulent

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