A text-book of the diseases of the ear and adjacent organs . ly above the head of * The instrument is made by H. Reiner, of Vienna, according to my direction. INTRA-TYMPANIC OPERATIONS AFTER SUPPURATION. 439 the stapes if the long process of the incus is wanting. I perform thesame operation when the inner wall of the tympanum is exposedand the niche of the fenestra ovalis is filled with shining gray cica-tricial tissue, and the stapes is so fixed thereby that its capitulum,as examined by Siegles speculum or by the probe, remains perfectlyimmovable. Sometimes the tendon of the stapedius appears


A text-book of the diseases of the ear and adjacent organs . ly above the head of * The instrument is made by H. Reiner, of Vienna, according to my direction. INTRA-TYMPANIC OPERATIONS AFTER SUPPURATION. 439 the stapes if the long process of the incus is wanting. I perform thesame operation when the inner wall of the tympanum is exposedand the niche of the fenestra ovalis is filled with shining gray cica-tricial tissue, and the stapes is so fixed thereby that its capitulum,as examined by Siegles speculum or by the probe, remains perfectlyimmovable. Sometimes the tendon of the stapedius appears en-veloped in the cicatricial tissue surrounding the niche of the fenestraovalis, and is then visible on the surface of the cicatrix as whitish pro-jecting striae extending backwards from the capitulum of the stapes. Ihave in several cases of this kind divided the muscle by an incisionperpendicular to its length, and with good results as regards the im-provement of the function of hearing. 4. In thickening and rigidity of the posterior portion of the mem-.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjecteardiseases, bookyear