A text-book of the diseases of the ear and adjacent organs . Fig. 194.—Destruction of Shrap-nells Membrane on the LeftSide. On the incisura Rivini is a large jaggedgap in the bone, through which themucous membrane of the tympaniccavity is growing. From a girl, 16years old, in whom suppuration ofthe middle ear had existed for fouryears in both ears. Lately she hadhad continuous headaches andtwitchings of the facial muscles. Inspite of repeated removal of the pro-truding new formation, it again andagain grew out into the externalmeatus. But after several injectionsof warm water into the tympanic


A text-book of the diseases of the ear and adjacent organs . Fig. 194.—Destruction of Shrap-nells Membrane on the LeftSide. On the incisura Rivini is a large jaggedgap in the bone, through which themucous membrane of the tympaniccavity is growing. From a girl, 16years old, in whom suppuration ofthe middle ear had existed for fouryears in both ears. Lately she hadhad continuous headaches andtwitchings of the facial muscles. Inspite of repeated removal of the pro-truding new formation, it again andagain grew out into the externalmeatus. But after several injectionsof warm water into the tympaniccavity by means of the catheter, thesuppuration rapidly decreased, andhealing Fig. 195.—Gap of the Size of a smallPea above the Short Process, theBase of which is ltned by asmooth, dry and gray Cicatrix. From a girl, 20 years old, who had suf-fered from ear-affection from child-hood. The suppuration is localizedto the space above the short suppurating cavity was cleansedby means of a small tympanic tube,inserted from the meatus, and thena few drops of a ten per cent, solutiondf nitrate of silver were injectedthrough the same tube, by which thesecretion was arrested on the follow-ing day. Several subsequent slightrelapses were quickly disposed of bythe same treatment. Hearing-dis-tance: acoumeter, 11 cm.; speech,l|m. considers that the slight communication between the attic andtympanic cavity is generally closed by swelling, hypertrophy, andmasses of secretion (Morpurgo). The membrana tympani itself issometimes moist, tumefied, and secreting; sometimes again dry andlustreless, especially in those cases in which the pus is confined tothe already-men


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Keywords: ., bookcentury1800, bookdecade1890, booksubjecteardiseases, bookyear