. Transactions. an ordinary otitis media purulenta with exten-sion of the disease to the mastoid, and I therefore pro-ceeded in the usual way to open the antrum. On makingthe incision from below upward through the soft part, theknife at once opened a large cavity below and in front ofthe apex of the mastoid. This cavity was full of granula-tion of large size, some of them as large as a small pea,and of a greenish color. I removed a considerable quan-tity of the same with a spoon and put them aside for micro-scopical examination, but they were unfortunately thrownaway by one of the nurses befor
. Transactions. an ordinary otitis media purulenta with exten-sion of the disease to the mastoid, and I therefore pro-ceeded in the usual way to open the antrum. On makingthe incision from below upward through the soft part, theknife at once opened a large cavity below and in front ofthe apex of the mastoid. This cavity was full of granula-tion of large size, some of them as large as a small pea,and of a greenish color. I removed a considerable quan-tity of the same with a spoon and put them aside for micro-scopical examination, but they were unfortunately thrownaway by one of the nurses before the operation wasfinished. This cavity extended far in towards the pha-rynx. The cortex of the mastoid was quite soft and sowas the posterior upper and lower wall of the externalcanal. I was able to remove all of the softened bone witha sharp spoon and by the time I had got through curettingbut little of the posterior upper and lower walls of the ex-ternal canal remained, the antrum and the tympanic cavity ^.. SARCOMA OF THE TEMPORAL BONE. 65 were one cavity : the hammer and incus were removedwith forceps, and the tympanic cavity cleaned of granula-tion. I do not remember ever to have had another casein which the bone was so soft and could be scraped awaywith so little force. The cavity was packed in the usualway and the boy put to bed. Temperature was 102 be-fore the operation, but fell to about 100 after the operation,and remained at this point during the following two noteworthy occurred during the first month afterthe operation, except an unusually rapid and veryprofuse growth of granulation from every part ofthe wound. We tried firm packing, cauterizationwith nitrate of silver and the galvanic cautery, butwith little effect. In the beginning of May the wholecavity was filled with a fleshy mass and by the fifteenthof this month this mass had grown at least half aninch above the level of the outer plate of the bone. Onthe i6th of May I put the boy once more u
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Keywords: ., boo, bookcentury1800, bookdecade1860, booksubjectear, bookyear1868
