It is the purpose of this paper to draw attention to a new method of operative procedure on the mastoid process, which we have employed with most successful results. We will briefly describe its technic, consider its peculiar problems, and state in detail such personal experience as will give a clear idea of its theory and practice.
For a long time we had been convinced that the simple mastoid operation now in vogue for the mechanical relief of acute suppurative mastoiditis, with its accompaniment of unremitting pain, was greatly inadequate, and that there must be some means of improving on it. We refer especially to the long and tedious convalescence that invariably follows it, as shown by the statistics of the duration of wound repairs in our large aural clinics. Even if the case goes well, the time before cicatrization takes place varies from 4 to 8 weeks, and very