A text-book of the diseases of the ear and adjacent organs . eeches, Hourteloupes arti-ficial leech or Delstanches aspiratingsyringe to the tender point, the con-tinued application of cold by means of Leiters apparatus (Fig. 257), the painting of the mastoid processwith tincture of iodine, or rubbing with ung. ciner., and the injectionof warm sterilized water through the catheter into the tympaniccavity (Millingen). By means of the treatment here described, it is possible, especiallyin the simple form, to alleviate the inflammation in the mastoidprocess after 3 to 4 days, with an accompanying
A text-book of the diseases of the ear and adjacent organs . eeches, Hourteloupes arti-ficial leech or Delstanches aspiratingsyringe to the tender point, the con-tinued application of cold by means of Leiters apparatus (Fig. 257), the painting of the mastoid processwith tincture of iodine, or rubbing with ung. ciner., and the injectionof warm sterilized water through the catheter into the tympaniccavity (Millingen). By means of the treatment here described, it is possible, especiallyin the simple form, to alleviate the inflammation in the mastoidprocess after 3 to 4 days, with an accompanying decrease of thefever temperature. The antiphlogistic treatment proves less efficientin inflammation of the mastoid cells, produced by scarlatina, tuber-culosis, syphilis, and influenza. The early application of the Leiterapparatus serves to stop the abscess-formation during influenza inonly a few cases. The Leiter apparatus is well borne, owing to its effect in easing pain. Itis of a certain diagnostic value, in so far as the continuation of the inflainma-. Fig. 257. 494 INFLAMMATION OF THE MASTOID CELLS. tion in the mastoid process may be concluded, so long as the apparatus iswell borne and desired by the patient, while as soon as the effect of the coldirritates and is unpleasant to the patient, the disappearance of the inflamma-tion is probable. Indications for opening the Mastoid Process.—If the antiphlogistictreatment is without result after several days application, if theprofuse otorrhceal pain in the mastoid process and fever continues,and especially if the evening exacerbations of fever do not cease, orsymptoms of meningeal irritation and vomiting or chills occur, open-ing of the mastoid process must be immediately done. The im-mediate carrying out of the operation is also indicated if it is provedby the history that the stormy symptoms signifying abscess-forma-tion have lasted for more than ten days. The question, whether we should operate early or treat the caseexpe
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecteardiseases, bookyear
