Abstract
The object of this paper is to show the superiority of the treatment of acute purulent otitis by aseptic drainage. The method itself is the familiar one which has gradually gained in popularity. Its principles are paracentesis as soon as the diagnosis is made, and continuous absorption of the discharge by an aseptic gauze drain in the meatus and a large dressing over the auricle. After sterilization of the meatus and auricle by means of carbolic acid solution the sterility of the gauze is further assured by the liberal use of powdered boric acid in the dressing. The external gauze pad is changed as soon as moisture shows, while the tampon in the meatus may be left 24 to 48 hours at a time. Notwithstanding its simplicity and efficacy, the superiority of this treatment is not universally acknowledged. In illustration I might quote two recent publications by acknowledged authorities. Politzer
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