The Laryngoscope Volume 1, No. 1

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1896 edition. Excerpt: ...unchanged. Considerable bleeding when dressing is changed. Boric acid solution substituted for bichloride. April 26th.--Treatment was continued, but discharge was very profuse. After cleansing with boric acid solution, the following powder was dusted into canal twice daily: Ifc Acid boric, Alum aceto-tartrate-„ 55, 3ij Lycopodium Jiv. April 27th.--Discharge very offensive, and greater in quantity. April 28th.--Number of polypi removed with curette. Some necrosed bone found posteriorly. Less discharge, but still very offensive. Some pain. April 29th.--No reaction from previous manipulation. Discharge quite profuse, but less offensive. Marked tendency to bleed. April 80th.--Tenderness on pressure over mastoid, with some swelling and redness. Leeches applied to mastoid. May 6th.--As tenderness over mastoid still persisted, the case was turned over to me for operation. Temperature for the last few days remained around 101 F., but patient did not complain of chills. At examination I found the canal filled with pus and granulation tissue, which gave off an exceedingly offensive odor. Pressure over mastoid showed same to be very sore and boggy to the touch. Under ether an extensive incision was made in the usual position, as I anticipated considerable destruction of the mastoid cells. Pus appeared immediately after the first incision, and flowed quite freely. A large amount of dead bone and granulation tissue was removed by means of the curette. On probing, the tip of the mastoid was found necrosed, and same was removed, with the degenerated soft tissues found in the field of operation. In clearing out the upper and posterior portion of the antrum and cells the finger encountered the dura mater, proving the extensive spread of the...