A manual of otology for students and practitioners . some headway is not made after reason-able efforts, the curette may be inserted between tliesuperior or posterior wall and the mass and a pail of thecerumen removed, or if possible a tunnel formed through 108 DISEASES OF THE EXTERNAL EAR which the solution may be forced. Then by renewingthe syringing and directing the stream at this point, theplug may be brought away. If still unsuccessful, moreof the cerumen may be removed w^ith the curette, andthe syringing renewed. With patience, by this methodone will succeed. After the cerumen is remove
A manual of otology for students and practitioners . some headway is not made after reason-able efforts, the curette may be inserted between tliesuperior or posterior wall and the mass and a pail of thecerumen removed, or if possible a tunnel formed through 108 DISEASES OF THE EXTERNAL EAR which the solution may be forced. Then by renewingthe syringing and directing the stream at this point, theplug may be brought away. If still unsuccessful, moreof the cerumen may be removed w^ith the curette, andthe syringing renewed. With patience, by this methodone will succeed. After the cerumen is removed the canalis dried with the cotton applicator to absorb the solutionremaining in contact with the drum membrane and acareful inspection of this structure and of the canalwalls made. Furuncles are not of infrequent occurrenceafter the removal of cerumen. So if any abraded sur-faces or points are found, they should be wiped with asolution of bichloride in alcohol (bichloride, gr. ^, alcohol,50 per cent., 5.])- This will also ])rcv(Mit the growth of. Fig. 42.—Large aural syringe for removing cerumen. Capacity three oimces. fungi which at times form a considerable part of theceruminous plug, the spores of which may still be adheringto the canal walls. If the weather is severe, a cottonwad mav be worn in the meatus for twent\-f()ur hours. FOREIGN BODIES IN THE EXTERNAL AUDITORY CANAL. Various kinds of foreign bodies find their way into theexternal auditory canal. Cotton, beads, buttons, variouskinds of seeds, insects or their larvtie, pieces of pencil,small pebbles, are among the commoner ones. Some areleft in the ear by mistake, but by far the larger numberare introduced by children, who seem to have a special FOREIGN BODIES IN THE AUDITORY CANAL 109 disposition to get into trouble in this way. Otologicalliterature is full of unique experiences with foreign bodiesand the special means adopted for their usually cause no trouble until unskilful attemptsat their rem
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Keywords: ., boo, bookcentury1900, bookdecade1910, booksubjectear, bookyear1916
