Report of the Edinburgh Ear Dispensary : with notes of one hundred cases of diseases of the ear treated in succession during the first months of 1861 / by Thomas Keith.

  • Keith, Thomas, 1827-1895.
Date:
[1862]
Catalogue details

Licence: Public Domain Mark

Credit: Report of the Edinburgh Ear Dispensary : with notes of one hundred cases of diseases of the ear treated in succession during the first months of 1861 / by Thomas Keith. Source: Wellcome Collection.

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    left, in addition to a similarly diseased state of parts, there is a large patch of atheromatous deposit. 89. Chronic Inflammation of Tympanum.—David Aigle, set. 13.—Has been getting deaf for six or eight months. The watch is heard half an inch from the right ear, and on contact with the left. Both membranse tympani are dull, thickened, and concave ; the triangular bright spot is large and elongated ; the tympanum is uninflatable. On the 2d July hearing had begun to improve; the watch being heard at two inches from the left, and nearly four from the right. After that he ceased attendance. 90. Chronic Inflammation of Meatus and Membrana Tympani.—William Heriot, set. 7.—About ten months ago had severe pain in the left ear, which was followed by discharge. This has continued since then. Hearing distance, four inches. The meatus is thickened, and contains a thin milky discharge and masses of thickened epidermis. Several small polypi, or rather granulations, are growing from the posterior wall of the tube near the membrana tympani. The mem¬ brana tympani is dull and thick. The meatus was washed two or three times with a twenty-grain solution of nitrate of silver, and free external counter-irritation was kept up for a long time. When seen a few weeks ago the hearing had returned, and the mem¬ brana tympani had quite regained its translucency. 91. Inflammation of Meatus after Bathing.—John Smith, set. 12 ; June 26.— A fortnight ago, after bathing, was seized with severe pain in both ears. This continued for several days, and was followed by deafness. Hearing distance, two inches. Both canals are dry and tender; the membranse tympani of a deep red colour. Eustachian tubes pervious; but there is great gurgling as the air enters the middle ear, as if there was mucous engorgement of the tympanum. The appli¬ cation of a leech to each meatus, fomentations, and two or three blisters, were followed by a return of the hearing in about a fortnight. 92. Mucous Accumulation in Middle Ear.—Simon Fraser, set. 32 ; June 26.— For the last ten days has had dulness of hearing, with confusion in the head, and a feeling of pressure on the right ear. Hearing distance, ten inches. The meatus is very large and dry; the membrana tympani of a dark leaden colour, and much more concave than natural; air enters the middle ear with a gurgling sound ; the throat is swollen and red. The fauces were touched with a forty-grain solution of nitrate of silver, and slight counter-irritation pre¬ scribed, along with a tannin gargle for the throat ; and in the course of ten days the symptoms had disappeared. 93. Catarrhal Inflammation of Middle Ear.—John Yeitch, set. 28 ; June 26. —About two years ago had slight discharge from the left ear, and after con¬ tinuing a few weeks it ceased spontaneously. A fortnight ago, after bathing, was seized with acute pain in the ear, which in two days after was followed by profuse discharge and great deafness. Hearing distance, contact. The meatus is swollen and full of discharge; the membrana tympani is of a bright red colour, and there is a minute perforation near its anterior margin, where there is a strong pulsation, and where mucus is seen, being pumped through from the middle ear. This patient was not seen again. 94. Chronic Inflammation of Meatus.—Peter Carmichael, set. 35 ; June 26.— For four or five months has suffered from intense itching deep down in the ear. Latterly there has been a slight discharge. On removing the muco-purulent discharge with which the meatus and mem¬ brana tympani are coated, the latter is seen to be very vascular, almost granular in appearance; the inner third of the meatus is also red and somewhat thick¬ ened. Hearing distance, six inches. The membrana tympani and deep part of the meatus were washed with a