A text-book of the diseases of the ear and adjacent organs . s tumours, it is best notto interfere, as all treatment, such as pressure, embrocation, etc.,rather tends to renew the bleeding than to quicken the absorptionof the extravasation. For this reason, therefore, massage, recom-mended by Meyer {A. f. 0., xvi.), must be used only with greatcaution, and by no means at the beginning, but first in the third orfourth week. When the swelling is painful neither pressure normassage must be used. On the other hand, in traumatic and ininflammatory othematoma, cold compresses, by means of ice-bags,o
A text-book of the diseases of the ear and adjacent organs . s tumours, it is best notto interfere, as all treatment, such as pressure, embrocation, etc.,rather tends to renew the bleeding than to quicken the absorptionof the extravasation. For this reason, therefore, massage, recom-mended by Meyer {A. f. 0., xvi.), must be used only with greatcaution, and by no means at the beginning, but first in the third orfourth week. When the swelling is painful neither pressure normassage must be used. On the other hand, in traumatic and ininflammatory othematoma, cold compresses, by means of ice-bags,or Leiters apparatus, are advisable, and on the cessation of pain,applications of Goulards lotion. When, notwithstanding anti-phlogistics, pain still continues after four or five days, and theswelling has not decreased in size, puncture, letting out the contents,and moderate pressure is the surest method of curing the many cases the cavity refills with blood, or viscid fluid, so thatrepeated puncture becomes necessary. When the tumour is of large. FlG. 86.—Spontaneous othematoma on the upper portion of the auricle, occurring ina man aged 23. Puncture of the painful tumour ; breaking through the of the returning processes by repeated injections of argentic nitrate sol.(2-4 in 10), after its existence for three months. circumference, E. Chimani recommends the splitting of the swelling,the removal of its contents, and the insertion of carbolic or salicylicwadding or iodoform gauze into the cavity, and afterwards a com-press bandage. Haemorrhage in the external auditory meatus is most frequentlycaused by traumatic injuries of the cutis or of the cartilage, and byfracture of the osseous walls. Spontaneous haemorrhage is rare,and arises usually in those idiopathic forms of inflammation whichwe describe as otitis externa haemorrhagica. 206 PERICHONDRITIS OF THE AURICLE. 2. Perichondritis of the Auricle {Perichondritis Auricula). Perichondritis is more rar
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