Atlas of diseases of the membrana tympani / by H. Macnaughton Jones.

  • Macnaughton-Jones, Henry, 1844-1918.
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: Atlas of diseases of the membrana tympani / by H. Macnaughton Jones. Source: Wellcome Collection.

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

    25/68 (page 21)
    Hinton notices, the fact illustrated in the above-mentioned cases that the hearing power was often good. He advises, when the membrane lies in contact with the tympanic wall, the application of the artificial membrane. Suction of the. meatus, as recommended by him, I have frequently found of service in these collapsed conditions of the membrane. This is best eflfected with the pneumatic speculum, through which we can at the same time see the adhesion and the extent to which the membrane and malleus are adhered. But it is a good plan to give a patient a piece of tubing with a quill inserted in one end to fit the meatus, and instruct him to apply suction with the mouth through the other. This plan of suction and inflation practised by the patient himself may be followed up by incision of the membrane, or in rare instances (Hinton) an attempt may be made to restore the malleus to a normal position, as by doing so we free the stapes. This, however, is a step not to be lightly undertaken, as it requires the most delicate manipulation to cut round the adherent malleus or stapes, and raise them by the gentlest of pressure into a better position. Politzer's plan of air tight closure of the malleus when the membrane has been well inflated, may be found useful in these cases of collapsed membrane. A piece of cotton wool is rolled into a ball with some cord or softened wax, and after a powerful inflation of the membrane, the meatus is plugged with the ball. This the patient can do himself, wearing the ball at night, and periodically omitting it. CATAEKH OF THE TYMPANUM, WITH BRAIN COMPLICATIONS. Fig. 54. The subject of this drawing, a little girl, was attending the hospital with aural catarrh. She came with the meatus considerably contracted, and there was great difficulty in introducing the smallest speculum; how- ever, after a few days, by careful cleansing and syringing, I was enabled to see the membrane. I determined, on seeing its bulging and inflamed look, to puncture, and expressed my anxiety as to the danger of some secretion being detained in the tympanum. The child was to have been operated on