JAMA. 1906;XLVII(20):1645-1648. doi:10.1001/jama.1906.25210200041001g.
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To remove diseased tissue thoroughly from the temporal bone, in cases of chronic suppuration, is an easy task compared with the difficulty of obtaining a resultant cavity absolutely free from granulations or discharge, and lined with healthy new epidermis. To establish such a condition speedily is an end toward which we are all striving.

When the first radical operations were done in 1889, it was no uncommon thing to have suppuration continue within the cavity for many months; healing was finally obtained only at the expense of much time and suffering, and was usually attended with considerable deformity. To-day it is possible to have our exenterated cavity thoroughly healed in a comparatively short time, in many cases only five weeks, and with absolutely no post-aural deformity, only a fine linear scar marking the line of incision.

HISTORICAL REVIEW.  How has this remarkable advance in the care of our patients been


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