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If the counter-opening in the neck is symptoms of burrowing of pus in the in such cases is generally followed by The after-treatment of the woundcavities in an uncomplicated case of Bezold's long mastoiditis with burrowing into the neck is to be conducted on general I have found that, in all cases of spontaneous perforation of the mastoid with discharge of pus beneath the soft tissues, whether the simple form or the Bezold form of mastoiditis, after free incision in the soft parts and escape of pus, especially if fluid syringed either through the ear or through the wound escapes at the opposite end of the suppurating tract, healing takes place promptly under one daily syringing of the tract with Acute catarrhal otitis media, instead of undergoing resolution or resulting in acute suppuration, may pass into a media.

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