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abscess acute suppurative otitis affected antrum apparatus appears attack attic auditory nerve auricle becomes bone brain canal wall caries cause cavity cerebral cerumen cholesteatome chronic suppurative otitis cotton course curette deafness diagnosis discharge dura Eustachian tube examination extension external canal facial flap fluid foreign body fossa frequently gauze grafts granulation tissue hearing test hemorrhage horizontal incision infection inserted internal ear involved jugular bulb labyrinth less malleus marked mastoid operation meatus meningitis middle ear mucous membrane nasopharynx normal nose and throat nystagmus occasionally occurs ossicles OTITIS INTERNA pain paracentesis paralysis pathological change pathological process patient perforation petrous pyramid pharyngeal pilocarpine pledget Politzerization posterior postero-superior present pressure probe prognosis promontory purulent removed result rupture secured semicircular canal side sigmoid sinus slight sometimes speculum stapes sterile suppurative otitis media symptoms syphilis syringing takes place thrombosis thrombus tinnitus tion treatment tympanic membrane tympanum usually vein vertigo vessel vestibular vomiting wound