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February 1969

Question and Answer Period

Arch Otolaryngol. 1969;89(2):338-340. doi:10.1001/archotol.1969.00770020340021

Harold F. Schuknecht, MD, Boston, Moderator: I have several questions here, and I will direct them to the individual noted at the top of the page. Dr. House, do you use or need urea or mannitol for any of your approaches?

William F. House, MD, Los Angeles: Yes, we use urea and mannitol. I think it is rather interesting that the question was directed to me because maybe whoever the questioner was tends to feel that we are doing this as a cooperative procedure. This is what I am trying to stress.

We use this primarily in a large tumor when we have accomplished all our bone removal in the first stage, and the patient then is coming up for the second stage. Usually we have a spinal needle, or often we have a spinal needle and also a ventricular needle; we give them the urea about one hour before

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