. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. ree drainage is cavity of the abscess and the antrum should be very gently packedwith 5 percent iodoform gauze. This packing is removed, when loosenedon the third or fourth day. The antrum and cavity should be freely irrigated with an antisepticlotion posteriorly, and thefluid allowed to pass out ofthe canal. When thoroughlycleansed, the cavity and an-trum should again bepacked lightly with will be
. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. ree drainage is cavity of the abscess and the antrum should be very gently packedwith 5 percent iodoform gauze. This packing is removed, when loosenedon the third or fourth day. The antrum and cavity should be freely irrigated with an antisepticlotion posteriorly, and thefluid allowed to pass out ofthe canal. When thoroughlycleansed, the cavity and an-trum should again bepacked lightly with will be necessary in somecases to leave a drainage-tube in situ, especially whenthe abscess-cavity is veryfoul and the pus is a drainage-tube hasbeen inserted and there is adischarge of pus, the parts should be irrigated with a weak boric-acidsolution, and afterward covered with iodoform gauze and absorbentcotton and bandaged. Surgeons in some instances, when there is achance of healing of the aseptic wound, reinsert the disk of bone. Ifthere is much discharge the dressings should be changed each bone which separates the mastoid cells from the lateral sinus. Fig. 58.—Opening the Mastoid Antrum.—(Esmarch and Kowalzig.) OPERATIONS. 183 is very*thin, so that when erosion of the bone occurs, inflammation mayeasily extend to the lateral sinus, causing thrombosis of the same, andemboli may be thus transmitted to the cerebrum or cerebellum and forman abscess, or abscess may be developed by direct inflammation throughthe dura mater, or in rare instances by inflammation extending to thecerebellum through the sheath of the auditory meatus. Abscesses arealso found between the dura mater and pia mater. (Dennis). Complications.—The sudden onset of a rigor, followed by a riseof temperature, headache, vomiting, etc., indicates meningitis. Undersuch circumstances the wound should be at once reopened. All drain-age should be removed and mild antiseptic lotions used freely. Sho
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