A text-book of the diseases of the ear for students and practitioners . ies—the free, theapplied, and the adherent. The free are, as a rule, of smallsize, and seldom extend so far inwards as to come into con- 392 DISEASES OF THE EAR tact with the inner tympanic wall. Large cicatrices, especiallythose situated behind the handle of the malleus, almost alwayslie so close to the inner tympanic wall that the contour of thepromontory, the recess of the round window, the incudo-stapedial articulation or the head of the stapes, can be almostas clearly seen as in extensive destruction of the membrane.
A text-book of the diseases of the ear for students and practitioners . ies—the free, theapplied, and the adherent. The free are, as a rule, of smallsize, and seldom extend so far inwards as to come into con- 392 DISEASES OF THE EAR tact with the inner tympanic wall. Large cicatrices, especiallythose situated behind the handle of the malleus, almost alwayslie so close to the inner tympanic wall that the contour of thepromontory, the recess of the round window, the incudo-stapedial articulation or the head of the stapes, can be almostas clearly seen as in extensive destruction of the membrane. Cicatrices of the membrane remain either unaltered afterclosure of the perforation, or, later, increase in size. Theauthor has repeatedly observed a wandering of the scar in themembrane (Eitelberg), and in several cases a destruction of thecicatrix, with a return of the perforation. The diagnosis of free cicatrices is, as a rule, not , sharply-defined dark scars may, at the first glance, bemistaken by the inexperienced for perforations. Such an error. Fig. 195. — Large Heart-shapedCicatrix below the Handle ofthe Malleus ; before and behindit two sharply-defined calca-REOUS Spots. From a girl, 19 years old, who sufferedfrom otorrhcea since childhood untilsix years ago. Hearing distance:Watch — 25 cm. Speech = 2m.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectear, booksubjecteardi
