Epitome of diseases and injuries of the ear : with a chapter on naso-pharyngeal diseases causing deafness / by W.R.H. Stewart.

  • Stewart, W. R. H. (William Robert Henry), 1852-1906.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Epitome of diseases and injuries of the ear : with a chapter on naso-pharyngeal diseases causing deafness / by W.R.H. Stewart. Source: Wellcome Collection.

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    panum. Directing the patient to close the mouth and inflate the cheeks while the bag is compressed, will usually answer the purpose of swallowing the water. Too much force must not be used, as it is possible to rupture some of the vessels in the membrane or even the membrane itself, it may also bring on an attack of syncope. It is always wise to ascertain the state of the heart before recommending either Politzer or Valsal- van. In young children whistling or crying answer almost the same purpose as swallowing, but it is not quite so effective, the act of swal- lowing separating the lips of the pharyngeal orifice of the Eustachian tube. If the opera- tor is slightly deaf himself, it may be advisable to use a binaural auscultation tube, one tube fitting into each ear of the operator, or dis- carding the tube altogether judge, from the appearance of the membrane and the sensa- tions of the patient, whether the inflation has been successfully effected. 4. By the Eustachian Catheter.^Where the tubes are non-pervious, the use of Politzer's method through the Eustachian catheter is necessary; this is not possible in young chil- dren and in some conditions of the nasaj fossa?.