Archives of Otology, Volume 10

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G.P. Putnam's Sons., 1881 - Ear
 

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Page 69 - Their therapeutical action in arresting profuse discharge on the one hand, and preventing the mucous membrane of the drum-cavity from drying up on the other, is most valuable. 3. They protect, like the natural drum-heads, the deeper parts of the ear against injurious influences of the atmosphere. 4. In some cases they are quite indispensable, and may be worn for a lifetime with permanent comfort and benefit. 5. In other cases they are needed only periodically, according as the copiousness of the...
Page 69 - When there is no discharge, they may be left as long as they are comfortable (to the patient) and the hearing is good. So far as my experience goes, they are apt to become unclean in a week or two. They ought then to be removed, the ear cleansed either with dry cotton or cotton steeped in warm soap-suds, and new pellets introduced. 7. The management of the...
Page 297 - Hyperostosis is of ivory hardness; exostosis before complete ossification has taken place in the tumour, can be pierced to a varying depth. Hyperostosis is not movable on pressure; exostosis is slightly movable, even when complete ossification has taken place. Hyperostosis is often seen without any other disease of the ear, and if an ear disease exists, there is no causative relation between them ; they exist altogether independently, and apart from each other. Exostosis is nearly always complicated...
Page 272 - If the vibrating tuning-fork be heard better on the mastoid than when placed in front of the meatus, there is disease predominantly of the middle ear. 4. If the tuning-fork be heard better through the air than through the bones, there being impairment of hearing, the disease which gives rise to this symptom is situated in the brain, nerve, or labyrinth.
Page 73 - The importance of treatment of the naso-pharyngeal space, tonsils, and uvula, in acute and chronic catarrh of the middle ear ;" " Artificial perforation of the membrana tympani ; " " The mastoid region and its diseases...
Page 97 - ... passed through both skin and cartilage. Owing to the natural folds of the cartilage, it was impossible to secure perfect coaptation on the- anterior surface of the auricle, and a small space was here left to heal by granulation. The dressing consisted of absorbent cotton and a bandage. Healing ensued without accident.
Page 69 - Cotton pellets, moistened with glycerine and water (1:4) and worn as artificial drumheads, are a great aid to many cases of partial or total defect of the natural drum-head with or without otorrhcea. 2. Their therapeutical action in arresting profuse discharge on the one hand, and in preventing the mucous membrane of the drum-cavity from drying up on the other, is most valuable. 3. They protect, like the natural drum-heads, the deeper parts of the ear against injurious influence of the atmosphere,...
Page 171 - Buck of fractures of the temporal bone into (a) "fracture or disastasis of the tympanic or squamous portion, in the region of the middle ear, without implication of the pars petrosa; and (/>) fracture of both the tympanic and the petrous portions," is an entirely tenable and eminently practical one.
Page 298 - In exostosis the defect in the hearing may also be mechanical ; this defect, however, is generally due to ear disease, either past or present. " The operation for the removal of hyperostosis is only justifiable when its mechanical presence has been ascertained to be the sole cause of the deafness, or when a coincident ear discharge exists, the escape of which may be hindered, or altogether arrested by the presence of the tumour. The commonest cause of deafness in...
Page 97 - In the first operation on the right " an incision was made through the skin, along the entire length of the furrow formed by the junction of the auricle with the side of the head posteriorly. This was joined at each end by a curved incision carried over the posterior surface of the auricle, and the skin and subcutaneous tissue included by these incisions were dissected off. Two incisions nearly parallel to the former ones were then carried directly through the cartilage, and an elliptical piece of...

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