A treatise on the diseases of the ear including the anatomy and physiology of the organ together with the treatment of the affections of the nose and pharynx which conduce to aural disease . a pipe which passes through a hole in the cork,almost to the bottom of the liottle which holds the solution to beinjected. Through another hole in the cork passes a pipe, one endof which is above the fluid in the bottle, and connected to its other * The instrument may be obtained from Messrs. Mayer & Meltzer, 71, GreatPortland Street, Londor, W. CHRONIC SUPPURATIVE INFLAMMATION OP MIDDLE EAR. 105 I end is


A treatise on the diseases of the ear including the anatomy and physiology of the organ together with the treatment of the affections of the nose and pharynx which conduce to aural disease . a pipe which passes through a hole in the cork,almost to the bottom of the liottle which holds the solution to beinjected. Through another hole in the cork passes a pipe, one endof which is above the fluid in the bottle, and connected to its other * The instrument may be obtained from Messrs. Mayer & Meltzer, 71, GreatPortland Street, Londor, W. CHRONIC SUPPURATIVE INFLAMMATION OP MIDDLE EAR. 105 I end is a piece of india-rubber tubing fitted with a this appai-atus, the attic and entire cavity of the tympanumcan be irrigated, and the force of the stream regulated by theexpiratory effort employed. Most of the tympanic syringeshitherto in use are too large to pass through a small perforation,and they require an assistant to work them, as the surgeonshands are occupied in holding the syringe and keeping thespeculum in its proper position. In order to introduce the irrigator, the ear is illuminated withthe forehead-mirror, and a speculum is passed into the meatus and. IK^. Tympanic [kept in position with the left hand. The tul)e, taken in the rightland, is passed carefully through the perforation, and kept in[position by resting the hand against the patients head. Whilstthe water or solution is being injected the tube is turned fromitime to time, so as to direct the current towards various parts ofthe cavity. If no uncomfortable sensations be produced, the irri-gation is to be continued as long as any fragments of inspissatedsecretion come awa}^ As a matter of course, the greatest care andgentleness are requisite in carrying out this treatment. The fluidshould be injected very gently at first, and the force should thenbe gradually increased. Plain water may be employed in thismanner ; but the addition of bicarbonate of sodium (gr. iv. t


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Keywords: ., boo, bookcentury1800, bookdecade1890, booksubjectear, bookyear1894