A text-book of the diseases of the ear and adjacent organs . ), from degeneration and resorption of caseated pus inthe temporal bone, miliary tuberculosis may develop (v. Troltsch). In the internal treatment of chronic middle-ear suppuration,accompanying constitutional diseases are specially to be taken intoaccount. This is specially true of anaemia, scrofula and syphilis, inwhich the local treatment is always to be combined with the properinternal treatment. As the same rules apply here as in middle-earcatarrh, in order to avoid repetition we would refer to the formerdescription in Chronic Mi
A text-book of the diseases of the ear and adjacent organs . ), from degeneration and resorption of caseated pus inthe temporal bone, miliary tuberculosis may develop (v. Troltsch). In the internal treatment of chronic middle-ear suppuration,accompanying constitutional diseases are specially to be taken intoaccount. This is specially true of anaemia, scrofula and syphilis, inwhich the local treatment is always to be combined with the properinternal treatment. As the same rules apply here as in middle-earcatarrh, in order to avoid repetition we would refer to the formerdescription in Chronic Middle-ear Catarrh (p. 308), for the externalmedication, diet, change of air and climate, and the use of treatment of the naso-pharyngeal affections accompanyingmiddle-ear suppuration will be considered in a special section. After the cessation of suppuration of the middle-ear, one must abstain fromthe use of any local medication, for experience shows that the suppuration iseasily brought back by syringing or instillation of remedies, as well as by. ;..;.: ;- : . _ . i.:-I: - TREATMENT OF THE DEAFNES-. Only when there is a large amount of secretion should the air-douche be continued at short intervals to prevent its stagnation inthe middle ear. The rarefaction of air in the external meatus (p. 124), by which inlocalized suppuration the pus may be aspirated from the tympaniccavity into the external meatus, often improves the hearing after of the suppuration. A remarkable improvement in hearing,occasionally only temporary, is seen after the alternate use of con-densation and rarefaction of air in the external meatus (massage)h Delstanches mas^ur Fig ~_ This procedure is indicated:in adhesions between the membrana tympani and the inner wall ofthe tympanic cavity ; in adhesions of the membrana tympani withthe articulation of the incus and stapes, or with the stapes whenseparated from the incus, especially in cases where, through cica-tricial adhesions, the poster
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecteardiseases, bookyear
