The ear : its anatomy, physiology, and diseases : a practical treatise for the use of medical students and practitioners / by Charles H. Burnett.

  • Burnett, Charles H. (Charles Henry), 1842-1902.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: The ear : its anatomy, physiology, and diseases : a practical treatise for the use of medical students and practitioners / by Charles H. Burnett. 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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    inoutli. Tlie masses were composed of liirge acicular crystals of cholesterine and fatty epitliclial debris, and strongly reminded one of the matter found in cholesteatoma of the ear, us described by Luci¥.' Tlie removal of the sequestrum and the subsequent syringing, with its fruitful results, gave still further relief to tiie patient; all pain disappeared, and he could now lie on the ear in bed. The sinus behind the auricle closed in four days after the removal of the sequestrum, and in a week from that time the discharge from the ear had almost ceased, and the odor of diseased bone, which had pervaded the patient, had disappeared ; but I could still feel loose crumbs of dead bone lying in the sinus leading from the auditory meatus to the mastoid cells. There- fore, 1 widened the sinus with my knife, cutting from the meatus towards the mastoid process, and inserted a tent in the widened sinus. The tent was reinserted ; for five days crum- bling bone came away, the odor and discharge lessened, and the sinus in the meatus closed October 17, under instillations of a solution of sulphate of copper (3 gr. to f.lj). The patient had become by this time quite strong under the constant use of tincture of chloride of iron, and, occasionally, alcoholic stimu- lants. During the night of the 19th of October, four weeks after the removal of the mastoid sequestrum, the patient experienced some pain in the ear, but not enough to keep him awake. On tlie morning of the 20th, he found that he could not whistle, and that the tears ran over his left cheek constantly. Facial paralysis became fully established on the left side by the 21st; so much so that food lodged between the cheek and teeth on the atfected side. There was no continuance of pain, and the patient expressed himself as feeling very well. He took, with- out my consent, a situation offered to him, and went to work at this time, the paralysis disappearing in two weeks, as I learned subsequently, for I did not hear from him until nine months later, when he visited me, and I found him entirely free from paralysis and all aural discharge. He had continued, on his own responsibility, to take the tincture of the chloride of iron until the paralysis had disappeared. ' Archiv fiir Ohrenheilk., Bd. i. No. 1. 1