A Treatise on the anatomy, physiology and diseases of the human ear

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author, 1851 - 124
 

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Strona 84 - Saunders advised paracentisis of the membrana tympani in cases of acute suppuration of the tympanumj — an operation that was revived by Schwartze a few years ago. He says : " But let it be admitted that the tympanum has suppurated, ought the membrana tympani to be abandoned to a casual ulceration, or is it better to open it by art ? I am inclined to prefer the latter, and if I can be assured, by any symptom, that suppuration has taken place, I should not hesitate to make a small perforation of...
Strona 71 - ... state is most frequently accompanied by the presence of membranous bands, •which connect its inner surface to the promontory stapes, or other parts of the inner wall of the tympanum. — 8. Sometimes the whole of both fibrous coats are destroyed by ulceration, and the mucous layer remaining entire, falls inwards, and covers the surface of the promontory, and the inner wall of the tympanum. — 9. Sometimes one-half of the membrana tympani is destroyed, and the border of the remaining half becomes...
Strona 54 - Suppression of discharges from the ears induces diseases of the brain," it is an every day affair to see otorrhoeas entirely disregarded, and no means whatever taken to heal them. So general is this, that individuals reach the period of puberty with this affection in one or both ears. The evil consequences of such continued disease, with a regular purulent discharge for years, (in one case lately under my care of thirty-two years,) may be easily conceived.
Strona 115 - glad," pat the heart rapidly, with a cheerful expression of countenance. For "sorry," rub the clinched hand on the heart, with a sad expression of countenance. For " black," draw the end of the forefinger along the eyebrow. For " red," touch the lips with the forefinger.
Strona 70 - ... thickened by chronic inflammation, and is sometimes so much hypertrophied that its inner surface is in contact with the promontory. In acute inflammation, lymph is effused from this mucous layer, and bands of adhesion are formed which connect it to the ossicula or to the inner wall of the tympanum. 2nd. The diseases of the membrana tympani, in which all its component structures, are at the same time affected, are the following : — 1. Hypertrophy, where the epidermoid, fibrous, and mucous layers...
Strona 71 - ... natural thickness, and it becomes opaque, hard, and dense, like a piece of cartilage. 2. Ulceration, where all the layers are destroyed wholly, or only in one part, so as to cause a perforation. 3. An increase of the external concavity, so that its internal surface is in contact with the promontory, to which it is frequently firmly adherent. 4. An absence of the external concavity, in place of which it is perfectly flat. 5. Scrofulous degeneration, in which all the layers lose their natural structure....
Strona 63 - The patient sits upon a chair, and an assistant supports his head, turned to one side, throwing if possible a strong light upon the ear affected. The instrument is carefully introduced, and pushed forwards until it reaches the substance, when keeping the curved edge towards the axis of the meatus, it is rapidly passed beyond the body, between it and the wall of the passage. As soon as this is done, the surgeon will find that he has complete control over it, and by traction can easily dislodge it...
Strona 85 - The application of a strong solution of nitrate of silver, (40 grains to the ounce of water,) will be found eflectual in reducing inflammatory actions in the throat and at the mouth of the tube.
Strona 58 - ... the profession, we are fully convinced. We have found, in reference to the treatment, that in the early stages, in uncomplicated cases, the production of moderate irritation behind the ear — with careful syringing, first with tepid water, to wash out the secretions, followed by a solution of the plumb, acetat. in the proportion of from two to six grains to the ounce of distilled water — all that was necessary. A small half-moon blister, or a drop or two of croton oil, or the latter used in...
Strona 96 - Section 5. Caries of the parietes of the tympanum ; necrosis of the petrous portion of the temporal bone ; destruction of the gasserian ganglion, producing paralysis of sensation in one half of the face and mouth. " Section 6. Caries of the parietes of the tympanum ; necrosis of the petrous portion of the temporal bone ; opening of the internal carotid artery in its canal of the temporal bone, either alone or in conjunction with the lateral sinus, or the destruction of the gasserian ganglion or the...

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