A text-book of the diseases of the ear for students and practitioners . Fig. 231.—Formation of Band-likeCords between the Lower End ofthe Handle of the Hammer andthe Incudo-stapedial Articula-tion. These Bands were cut atBight Angles, which was fol-lowed by a Marked Improvementin Hearing. In a Man aged Fig. 232.—Adhesion of the LowerEnd of the Handle of theHammer to the Promontory. the scissors are then opened, the instrument slightly advanced, and theprocess, which is now between the branches, is incised by closing the scissors(Fig. 233). In order to prevent the growing together of the t
A text-book of the diseases of the ear for students and practitioners . Fig. 231.—Formation of Band-likeCords between the Lower End ofthe Handle of the Hammer andthe Incudo-stapedial Articula-tion. These Bands were cut atBight Angles, which was fol-lowed by a Marked Improvementin Hearing. In a Man aged Fig. 232.—Adhesion of the LowerEnd of the Handle of theHammer to the Promontory. the scissors are then opened, the instrument slightly advanced, and theprocess, which is now between the branches, is incised by closing the scissors(Fig. 233). In order to prevent the growing together of the two ends, oneshould try, if the field of operation permits, to remove a piece of the processby a second incision. In several cases operated on by the author, the improve-ment in hearing was remarkable and lasting ; often, however, it was transientor nil. In two cases in which incision of the cicatricial tissue around theadherent handle had no effect and the incudo-stapedial articulation was in-visible, a marked improvement in the hearing resulted after cutting through thehandle of the malleus above the short process with the instrument described,followed by its extraction with Sextons forceps. De Rossi, to whom we are indebted for valuable indications as to intra-tympanic operations, incised the in
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectear, booksubjecteardi
