An American text-book of the diseases of children .. . rst ounce or so, the fluid ought to be stainedwith dissolved cerumen, the softened lumps should follow, and soon the re-sidual mass, softened and reduced in size, appears in the exit, and may behastened out, if it clings there, by a touch of the probe. If fair employmentof the syringe has not been thus successful, with good illumination and a steadyhand the mass may be touched with a probe, such as the cotton-carrier, andgently loosened, when the syringing will probably succeed. When the epidermalelement is large and the solubility corresp
An American text-book of the diseases of children .. . rst ounce or so, the fluid ought to be stainedwith dissolved cerumen, the softened lumps should follow, and soon the re-sidual mass, softened and reduced in size, appears in the exit, and may behastened out, if it clings there, by a touch of the probe. If fair employmentof the syringe has not been thus successful, with good illumination and a steadyhand the mass may be touched with a probe, such as the cotton-carrier, andgently loosened, when the syringing will probably succeed. When the epidermalelement is large and the solubility correspondingly small, considerable instru- DISEASES OF THE EAR. 1107 mentation may be needful; but it takes a skilful hand to employ forceps orcurette Bafely or effectively. A small sharp spoon is a most useful instrument,for with it a channel can be excavated in the centre or side of the mass, por-tions displaced so as to be easily grasped and withdrawn by the forceps, or thewhole engaged and adroitly extracted. Yet it is decidedly dangerous, and the The Aural Syringe in Use. blunt ear-spoons more so than the sharp ones, since the operator is apt to pre-sume upon the supposed innocuous character of the former. First and last, andoften between-times, the syringing is to be relied upon as the really appropriatemeasure; and, well used, it will rarely need much help in securing completeremoval of impacted cerumen at the first sitting. On clearing the canal some con-gestion of the walls and drumhead is usually seen, with excoriation, perhaps,if the pressure of the mass has been ill borne or the manipulation rough in re-moval. The canal should be gently dried with absorbent cotton on the cotton-carrier, any excoriated surfaces lightly dusted with boric acid, and the exitfilled with a flake of cotton in order to exclude the dust and too rapid move-ment of the air. A repeated visit should be called for, to make sure of promptrestoration to normal; while any tympanic catarrh should be
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Keywords: ., bookcentury1800, bookdecade189, booksubjectchildren, bookyear1895
