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Radical Mastoid Operation in Chronic Sup- purative Otitis. Immediate operation is indicated in dangerous com- plications such as otitis, brain abscess, epidural ab- scess, cerebellar abscess, thrombosis of the lateral sinus, extensive cholesteatoma, beginning symptoms of meningitis of otitis orin, sudden facial paralysis or labyrinthine involvement.

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Black (Journal of the Missouri Stale Medical Association, April, ic)i8) divides indications for the radical mastoid operation into two classes ; immediate and deferred operation.

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