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CLEANSING TREATMENT OF CHRONIC SUPPURATION OF THE MIDDLE EAR.

W. SOHIER BRYANT, A.M., M.D.
JAMA. 1907;XLIX(11):926-929. doi:10.1001/jama.1907.25320110038001i.
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During an experience of twenty years' duration I have found that chronic suppuration of the middle ear will yield to cleansing treatment in the majority of cases, whether they be acute, chronic or perennial in type. In this statement I wish also to include those cases in which the infected area is spreading and those with acute exacerbation, both of which conditions are rightly considered very dangerous. The exceptions that do not yield comprise those cases in which the caries present is extensive enough to require more than a reasonable time for removal by natural processes; those in which there is an active osteitis; those in which the sepsis has spread to parts outside the bone; those in which the inflammation is due to some special form of infection, such as tuberculosis or syphilis, or, finally, cases in which vital parts are involved and demand immediate operation. All other cases

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