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ROBERT B. LEWY, MD
Chicago

Arch Otolaryngol. 1977;103(5):310.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—I read with interest the article by Horn and associates on maggot therapy for subacute mastoiditis that appeared in the June ARCHIVES (102:377-379, 1976). I was surprised that they fell back on this form of therapy, when urea therapy has been known and has been used for years.

I refer to my preliminary work in the ARCHIVES (based on the work of W. Robinson), "The Use of Urea in Diseases of the Ear, Nose and Throat" (26:195-197, 1937). The urea, in a 5% to 10% solution, cleaned up all the fetid necrotic wounds in a large ward at Cook County Hospital, Chicago.

While I congratulate the authors in their success, I wonder why the necessity of the complicated arrangement of applying the maggots. Urea, which is a product of maggots, presumably would have done the same thing.

I hope this information (39 years after the original writing) . . . [Full Text PDF of this Article]

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