Diagnosis and treatment of ear diseases . be a simple scab covering the spot, grew tobe quite thick, hard, and prominent. Whenever itreached such a size as to be an object of disfigure-ment, he was in the habit of paring it down with arazor. During the past two months it had grown, hethought, rather more rapidly than before, and he wasnumoGf theTuride? ^^ therefore anxious to have it removed. At the time when he visited me the growth pre-sented the following appearances: a blunted, hom-like protuberance, three-fourths of an inch long and nearly as broad at its base, springs from theupper and p
Diagnosis and treatment of ear diseases . be a simple scab covering the spot, grew tobe quite thick, hard, and prominent. Whenever itreached such a size as to be an object of disfigure-ment, he was in the habit of paring it down with arazor. During the past two months it had grown, hethought, rather more rapidly than before, and he wasnumoGf theTuride? ^^ therefore anxious to have it removed. At the time when he visited me the growth pre-sented the following appearances: a blunted, hom-like protuberance, three-fourths of an inch long and nearly as broad at its base, springs from theupper and posterior portion of the left helix. Of a whitish color at its base,it gradually grows quite smoky at its summit, which is more or less jaggedin appearance. It is distinctly striated, the markings running in a slightly 1 Transactions of the American Otological Society, Treatise on the Diseases of the Ear. New York, 1873. 3 Treatise on the Ear. Philadelphia, 1877. 4 See Rindfleisch : Pathologische Gewebelehre, Leipzig, 1866. § DISEASES OF THE EAR. 53 divergent direction from the summit to the base. At the extremity, andin the middle portion it is hard like horn, but near the base it can easilybe compressed, though yet comparatively hard. The line of demarcationbetween the growth and the normal skin is very abrupt. There is no ten-derness on pressure. The patient having been brought under the influence of ether, I madetwo converging incisions on either side of the base of the tumor. Thetissues included between these incisions comprised every trace of the new-growth, and the wedge-shaped wound which remained was obliterated byapproximating the opposite edges of skin and keeping them in close appo-sition by means of fine interrupted sutures. Union took place by granu-lation, and at the end of the third week scarcely a trace of the operationco aid be detected. Six months later the patient was seen again. Therewere no signs of a return of the growth. A small, sharp point
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