A text-book of the diseases of the ear and adjacent organs . upon the tissues. When per-foration has not occurred, paracentesis should be performed atonce. The treatment of diphtheritic middle-ear inflammation isstrongly antiseptic, and one should be careful to have the ear 406 CHKONIC PURULENT INFLAMMATION OF THE MIDDLE EAR. syringed out several times a day with lime water or with a 1 in 1,000solution of sublimate. As regards the other details, refer to page bilateral ear disease complicated by naso-pharyngeal diphtheria,the middle ear should be washed out daily with a boric acid solut


A text-book of the diseases of the ear and adjacent organs . upon the tissues. When per-foration has not occurred, paracentesis should be performed atonce. The treatment of diphtheritic middle-ear inflammation isstrongly antiseptic, and one should be careful to have the ear 406 CHKONIC PURULENT INFLAMMATION OF THE MIDDLE EAR. syringed out several times a day with lime water or with a 1 in 1,000solution of sublimate. As regards the other details, refer to page bilateral ear disease complicated by naso-pharyngeal diphtheria,the middle ear should be washed out daily with a boric acid solutionby means of Webers or Saemanns douche in order to remove septicsecretion ard cast off diphtheritic membrane from the middle the other hand, in naso-pharyngeal diphtheria without earaffection, syringing in the nose should be done with great caution,as by severe pressure the penetration of the fluid into the tube mayeasily produce a diphtheritic process in the middle ear. The localtreatment of the ear must always be combined with the antiseptica b. Fig. 227.—Microscopic Section of the Inner Wall of the Tympanic Cavityof a Woman, 36 years of age, who died of Pulmonary Phthisis, and whohad suffered for four months from Profuse Suppuration of the MiddleEar on the right side. The anterior portion of the inner wall of the tympanum is completely deprived of itsmucous membrane, and the exposed bone is pale, somewhat rough and the section the boundary of the mucous membrane [b b), which becomes thinnertowards the place where the loss of substance has occurred (a), can be distin-guished. The bare bone (a), the structure of which is sharply set off from thecapsule of the cochlea (c), lying below it, presents everywhere the characters ofinflammation. The remains of the corroded osseous lamella (a) project on thesurface like small ridges. The vascular spaces, as also the larger osseous spaces(d d), in the posterior portion of the petrous bone, are filled with granulatio


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Keywords: ., bookcentury1800, bookdecade1890, booksubjecteardiseases, bookyear