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In the past and present methods of treating suppurative otitis media, the most important factor, drainage, seems to have been ignored. The first principle in surgery has always been, "Where pus is present, evacuate and establish drainage." In suppurative otitis media, if nature has not ruptured the drum, it is incised; but few follow up the next step and encourage continuous drainage. It is this one important step of continuous drainage on which success or failure depends. If it were possible to drain a suppurating middle ear, attic, antrum and the mastoid cells through the eustachian tube, mastoidectomies would be very rarely performed. When the eustachian pathway is not sufficient, drainage must be established through the drum or the mastoid bone. Following this thought of continuous drainage, a review was made of thirty-nine books dealing with diseases of the ear, published from the year 1888 until 1929. Only three of
JAMA – American Medical Association
Published: Oct 25, 1930
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