A text-book of the diseases of the ear and adjacent organs . Fig. 189. — Perforationof the Posterior Halfof the Right MembranaTympani. Behind the umbo is thestrongly projecting yellow-ish-gray promontory, aboveit the long crus of the incuslying free and the posteriorcrus of the stapes. Froma young man, 16 years ofage, in whom the purulentinflammation commenced2 years ago after a coldbath. After the removalof a small polypus seatedon the promontory, thesuppuration ceased. Lateron the orifice was closedby a large thin - distance : acou-meter = 1 m. ; speech =nearly Fig.
A text-book of the diseases of the ear and adjacent organs . Fig. 189. — Perforationof the Posterior Halfof the Right MembranaTympani. Behind the umbo is thestrongly projecting yellow-ish-gray promontory, aboveit the long crus of the incuslying free and the posteriorcrus of the stapes. Froma young man, 16 years ofage, in whom the purulentinflammation commenced2 years ago after a coldbath. After the removalof a small polypus seatedon the promontory, thesuppuration ceased. Lateron the orifice was closedby a large thin - distance : acou-meter = 1 m. ; speech =nearly Fig. 190.—Extensive Per-foration in the Pos-terior and InferiorPortion of the BightMembrana Tympani. In the posterior superiorquadrant of the field ofview the capitulum of thestapes with the tendon ofthe stapedius, below it thepale yellow promontory,and behind it the niche ofthe fenestra rotunda arevisible. From a man 50years of age. tions during the course of the disease, when the swelling of themembrane decreases, and the mass of exudate or epithelium is castoff. In questionable cases we may often learn the seat of the per-foration by means of the Siegle speculum. If the air in the ex-ternal meatus is rarefied, a drop of pus will often be seen, whichwill signify the place of perforation. On the other hand, when theair is condensed in the meatus, the opening may be seen for amoment as air passes through. The pneumatic speculum is also ofuse when there is doubt if an uneven granular surface occupying the 368 CHRONIC PURULENT INFLAMMATION OF THE MIDDLE EAR. whole field of vision is t
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecteardiseases, bookyear