The diseases of the ear and their treatment . nces. Burckhardt-Merian recommends asmall handle, which canbe held between thethumb and anaesthetising themembrane with a 5—20per cent, solution ofcocaine, the incision ismade at the point wherethe surface is most pro-minent. When it bulgesuniformly, the artificialopening is made in theposterior - inferior part,as the distance betweenthe membrana tympaniand the inner wall ofthe tympanic cavity isgreatest in that situa-tion. After incision theair-douche is employedfor the removal of theexudation. Sometimessuch an opening closes so q
The diseases of the ear and their treatment . nces. Burckhardt-Merian recommends asmall handle, which canbe held between thethumb and anaesthetising themembrane with a 5—20per cent, solution ofcocaine, the incision ismade at the point wherethe surface is most pro-minent. When it bulgesuniformly, the artificialopening is made in theposterior - inferior part,as the distance betweenthe membrana tympaniand the inner wall ofthe tympanic cavity isgreatest in that situa-tion. After incision theair-douche is employedfor the removal of theexudation. Sometimessuch an opening closes so quickly that paracentesis must again beperformed. The most varied remedies have been recommended for the painwhich frequently continues after the membrane has become per-forated, and especially for the nightly exacerbations. As a rule, nar-cotics, such as opium and morphia, are not very effective. Hydrateof chloral is more useful, and sometimes the pain is alleviated by asolution of iodide of potassium in doses of |—1 gm. Instillations of. Fig. 33. OF THE MIDDLE EAR. 139 a |- per cent, solution of atropine, five drops being used severaltimes daily, the author has often found of great service. For reliev-ing pain, especially in children, Bendelack-Hewetson has recentlyrecommended instillations of carbolised glycerine (1 : 5). In manycases, instillations of a 5—20 per cent, solution of cocaine relievethe pain at once, but sometimes this remedy is useless. In casesof neuralgic pains, with sleeplessness, the author obtained very goodresults from the application of the induced current upon the sideand back of the cervical region. For cases where, in spite of treat-ment, the pain still continues after the membrane has been per-forated and the suppuration is not checked, and for those inwhich the membrane presents a nipple-shaped elevation at theplace of perforation, as also for cases of painful inflammation of themastoid process. Politzer recommends injections of warm waterthrou
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