Abstract
The appropriate treatment for the inflamed mastoid is a vexed question, occupying much the same position with reference to otology at the present time that the treatment of the inflamed appendix held in abdominal surgery a few years ago. Aurists differ but little as to the treatment of the acute abscess formation in the middle ear, but when it becomes apparent that the mastoid process is involved the greatest diversity of opinion exists as to the method of procedure which shall be employed. A few years ago conservatism in the treatment of mastoiditis was absolute, and the operation of perforating the cortex rare. During the past decade great changes have taken place in our attitude toward this disease, until to-day the tendency is almost toward the opposite extreme. I am well aware that much has been written of recent years on the subject of treatment of acute mastoiditis versus operation,
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