The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . of acute myringitis should be guarded, as theresult in reference to the hearing of the patient is very uncertain. Some-times myringitis, especially if slight, is followed simply by desquamation ofthe epidermis covering the membrane ; at other times fibrin is effused betweenthe two laminse of the fibrous coat, which will leave an opacity and thickeningthat will greatly impede hearing,
The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . of acute myringitis should be guarded, as theresult in reference to the hearing of the patient is very uncertain. Some-times myringitis, especially if slight, is followed simply by desquamation ofthe epidermis covering the membrane ; at other times fibrin is effused betweenthe two laminse of the fibrous coat, which will leave an opacity and thickeningthat will greatly impede hearing, and be almost as difficult to remove as sim-ilar opacities in the cornea; or ulceration may leave a permanent loss of tissueand consequent destruction of the function (vibration) of the membrane- orthe myringitis may be complicated with tympanitis, (inflammation of theVOL. II.—14 210 PRINCIPLES AND PRACTICE OF SURGERY. cavity of the tympanum,) and this be followed by polypus, otorrhcea, necrosis ofthe ossicles, and entire destruction of the ear as an acoustic instrument. Thetermination of the acute stage of the disorder varies from a week to ten days ;the deafness, etc. may last indefinitely. Fig. Position of the surgeon and patient in an examination of the membrane of the tj-mpanum byartificial light. (After Nature.) Treatment.—The treatment before advised as applicable to external otitisis equally useful in acute myringitis—purgatives, diaphoretics, and anodynesbeing actively employed. The general principles applicable to corneitis arealso applicable to acute myringitis, except that mercurialization, which isliable to prove injurious in corneitis, and to induce sloughing of the cornea,is advisable in the treatment of myringitis. A mercurial purge, followed bysmall doses of Dovers powder, will often prove an important part of thetreatment of acute myringitis ; counter-irritation near the meatus, by the ap-plication of creosote, as advised in the treatment of otitis
Size: 1775px × 1408px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdec, booksubjectsurgicalproceduresoperative
