A manual of aural surgery for the use of students and practitioners of medicine / by James Keene.

  • Keene, James
Date:
1873
Catalogue details

Licence: Public Domain Mark

Credit: A manual of aural surgery for the use of students and practitioners of medicine / by James Keene. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    warm water, injected througli tlie Eustacbiaii catlieter. The mastoid process may be blistered or rubbed with, chloroform liniment with advantage in some instances. Sometimes the vesication gives relief at first, but after a short time the noises return with increased violence. Inflation of the tympanum or the vse of Siegle's speculum often produce a marked improve- ment, but the effect is rarely more than temporary. Puncture of the membrana tympani will frequently cure tinnitus, the relief lasting as long as the opening can be maintained ; but this usually closes in a few days, and then the noises return with the same severity as before. To obviate this difficulty a variety of expedients have been adopted. It has been recom- mended to remove a small piece of the membrane ; to make a minute flap ; to puncture by the galvanic cautery; or to insert a small ring of hard rubber into the opening ; but in spite of these and other methods the aperture will generally close and the tinnitus return. In some cases we may try all the likely remedies of the pharmacopoeia in vain, and the patient will be in no way benefitted. This brings to a conclusion what I have to say concerning disease of the internal ear, and with it of ear disease generally. In giving to the profession this brief, and I fear imperfect epitome of aural pathology, I trust that it will prove useful. If I have succeeded in throwing some light on a much neglected department of surgery, the object I have had in view in writing this manual will be in-a great measure attained.
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