Practitioner's handbook of diseases of the ear and naso-pharynx / by H. Macnaughton-Jones.

  • Macnaughton-Jones, Henry, 1844-1918.
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Practitioner's handbook of diseases of the ear and naso-pharynx / by H. Macnaughton-Jones. 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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    the syllables were arranged rhythmic- ally. He would therefore recommend teachers of very young deaf children to study such a book as 'Mother Goose,' ■ and to set their articulation exercises to the rhythm of the most favourite rhymes. I would conclude these observations on deaf-mutism by laying down these axioms for the practitioner's guidance. 1. In all cases of deaf-mutism exhaust every means of ascertaining the smallest retention of hearing in both ears—try this by various noises, musical tones, the tuning-fork, &c. 2. Critically examine the ear and throat for local causes of deafness, and under any circumstances heal these if present. 3. Begin as early as possible the training of the child, and guide the parents by judicious advice, both as to the moral and mental management. 4. Urge the child being sent to a skilled teacher to learn, or reputed training school. To detect Malingering in cases of Feigned- Deafness. 1. Examine carefully the ear and naso- pharynx for objective evidences of anj- aural affection. 2. In Unilateral Deafness.—The eyes being blindfolded, test with the watch and acoumeter the hearing distance of both ears repeatedly, the person's head being turned in different directions. 3. Place a tuning-fork (Chimani) on the middle of the vertex of the head ; ask the person which ear he hears loudest in —the malingerer will, as a rule, affirm that he hears the sound loudest in the healthy ear, or that he can detect little difference, or that he does not hear it at all in the deaf ear; close now the healthy ear, and the malingerer will assert that he does not hear the sound, or only indistinctly. 4. Take a binaural stethoscope (David Coggin), plug one of the soft tubes, so as that the sound passes off (as a low voice) through this tube is prevented; place now both the ear-pieces in the person's ears, taking care that the plugged tube communicates with the hearing ear; speak to the per- son through the cup-end of the stetho- scope—the malingerer will say he hears; next remove the tube from the hearing ear, and again speak through the stetho- scope—the malingerer now says that he does not hear, as the tube has been removed from the sound car. 5. In Bilateral Deafness— (1) Inquire carefully into the history of the case, mode of onset, and duration of deafness. (2) Examine both ears carefully, and apply in different methods the various hear- ing tests. (3) Find if a loud noise or call will awake the person from sleep (Politzer). (4) Propose certain operative procedures in the deaf person's presence—such as electricity, puncturing the drum with the cauter}' ; speak of the jiainful nature of these steps, watch the ex- pression of the countenance. (5) Try in every way to take the suspected person unawares.