. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. ated, and on making firm pressure overthe apex of the mastoid there was some deep-seated made a Wildes incision about one and a half inch long,and found denuded bone and an irregular opening aboutone-fourth inch in diameter leading to the mastoid were found no sequestra of bone nor pus ; thecells seemed covered by a spongy tissue, but a thoroughexamination was impossible, as probing caused consider-able pain. A poultice was then applied over th
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. ated, and on making firm pressure overthe apex of the mastoid there was some deep-seated made a Wildes incision about one and a half inch long,and found denuded bone and an irregular opening aboutone-fourth inch in diameter leading to the mastoid were found no sequestra of bone nor pus ; thecells seemed covered by a spongy tissue, but a thoroughexamination was impossible, as probing caused consider-able pain. A poultice was then applied over the mastoidprocess, the ear was syringed, and morphine was givento alleviate the pain at night. The patient entered the Infirmary as an inmate, Novem-ber 8th, as the pain continued to be severe and the swell-ing remained the same. Dr. A. H. Buck and Dr. R. saw the case in consultation with me, and it wasdecided best to postpone any operation on the mastoid atpresent, as a Wildes incision had already been made andan opening established to the mastoid cells. Althoughthe possibility of its being malignant disease was consid-. FlG. 423S.—Carcinoma of the Temporal Bone. From a photograph. ered, it was thought more probable to be a case of exten-sive caries, involving the mastoid cells and auditorycanal, with chronic inflammation and induration of thesurrounding tissues. At the time of the examination theprobe passed into the mastoid process toward the antrumto the depth of two inches. The probe entering thetympanic cavity also revealed carious bone. The canalwas still very much contracted, and the introduction ofthe probe into the middle ear at this examination, as be-fore, caused considerable haemorrhage. There beingsome cheesy material in the tympanum, it was deemedbest to syringe the ear and the mastoid cells with a solu-tion of boracic acid several times a day, in order to keepthe parts thoroughly clean, and to continue the morphineto relieve the pain. This treatment was
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
