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To the Editor.—I read with interest the article by Horn and associates on maggot therapy for subacute mastoiditis that appeared in the June Archives (102:377-379, 1976). I was surprised that they fell back on this form of therapy, when urea therapy has been known and has been used for years.
I refer to my preliminary work in the Archives (based on the work of W. Robinson), "The Use of Urea in Diseases of the Ear, Nose and Throat" (26:195-197, 1937). The urea, in a 5% to 10% solution, cleaned up all the fetid necrotic wounds in a large ward at Cook County Hospital, Chicago.
While I congratulate the authors in their success, I wonder why the necessity of the complicated arrangement of applying the maggots. Urea, which is a product of maggots, presumably would have done the same thing.
I hope this information (39 years after the original writing)
LEWY RB. Maggot Therapy. Arch Otolaryngol. 1977;103(5):310. doi:10.1001/archotol.1977.00780220104021
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