An American text-book of the diseases of children .. . sually earache; and the prevalenterror of regarding this as an entity instead of a symptom, and combating it t>ynarcotics instilled into the ear, instead of striking at the underlying inflamma-tion, is responsible for many unhappy results. Neuralgias of the ear are rare,and while points of reflex irritation may be suspected and sought in teeth, ton-sils, and other neighboring structures, it is only after careful investigation, prov-ing the uninflamed condition of the aural tract, that a painful condition shouldbe set down as otalgia. Us
An American text-book of the diseases of children .. . sually earache; and the prevalenterror of regarding this as an entity instead of a symptom, and combating it t>ynarcotics instilled into the ear, instead of striking at the underlying inflamma-tion, is responsible for many unhappy results. Neuralgias of the ear are rare,and while points of reflex irritation may be suspected and sought in teeth, ton-sils, and other neighboring structures, it is only after careful investigation, prov-ing the uninflamed condition of the aural tract, that a painful condition shouldbe set down as otalgia. Usually in children some fever is present, there is ten-derness elicited by pressure on the tragus or traction on the auricle, and inspec-tion will show a congested and perhaps distended condition of the drum-head. It is important here to correct misapprehensions as to the drum-mem-brane in childhood, which have been fostered by some of the authorities. The tympanic membrane and the annulus in which it is set are upon the sur- DISEASES OF THE EAR. 1111. Schematic Vertical Section of Adult Ear. showing direction of theauditory canal and the length of the bony portion. I f the -kull in infancy, open to new when the soft strnctoi removed, and revealinc ntal inclination of the druini. • the imi thai tht- tympanic membrane u iperficialand more horiionta] in infancy. Neither ifl true : for the canal \a about thirty millimetresu in the adult, with a membranous portion where the tympanic bctoD forms the bony canal; and removal of the bony canal in adults -hows that the two drumheads main-tain identically the sameinclination to each Much : the temporal- and their separationby the occipital, the planeof the tympanic mem-ae, like its size, isunaltered after birth. Anmical point whichlend- color to the errormuch practical im-ance. The direction ofthe adult canal is opwardaward, whilethe auricle falls downwardand forward, and must bedrawn up and back to_ ten the cartilagin-ou
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Keywords: ., bookcentury1800, bookdecade189, booksubjectchildren, bookyear1895
