Subjective noises in the head and ears : their etiology, diagnosis and treatment / by H. Macnaughton-Jones.

  • Macnaughton-Jones, H. (Henry), 1844-1918.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Subjective noises in the head and ears : their etiology, diagnosis and treatment / by H. Macnaughton-Jones. Source: Wellcome Collection.

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    whistling ; distant thunder; chirping of birds ; kettle boiling ; waterfall; mill wheel; music ; bells. I should say from my experience that we may place the proportion of aural patients who suffer from tinnitus as about one in three. Analysis of Table.—Sex : males, 127 ; females, 133. Ages: under ten, 3; ten to twenty, 36; twenty to thirty, 43 ; thirty to forty, 41 ; forty to fifty, 39 ; fifty to sixty, 35 ; sixty to seventy, 21 ; seventy to eighty, 8 ; not recorded, 34. The youngest patient under ten was three years old, the next, four, the other, seven. The causes ascribed in these cases were respectively, three years, nasal turbinal obstruction; four years, fever (possibly meningeal complications) ; seven years, ton- sillar hypertrophy. The ears were normal in the child affected with tonsillar hypertrophy. There was absolute deafness in the patient attacked after fever. Right or left ear, or both : right ear, 36 ; left ear, 53 ; both, 171. Ascribed causes: cerumen * (present on examination), 30; nasopharyngeal catarrh, 28; nasal turbinate con- gestion and obstruction, 19 ; mental worry and over- strain, 14; sea bathing, 12; scarlatina, 9; heredity, 8; tropical effects, 8 ; the menopause, 8 ; injuries, 7; hypertrophied tonsils and tonsillitis, 7; abscess or in- flammation of meatus, 7 ; cardiac disease, 7 ; gout, 5 ; uterine disorders, 5 ; measles, 4; syphilis, 4; alcohol, 4; rheumatic fever and rheumatism, 3; pregnancy, 2; morbus Brightii, 2 ; ozaena, 2 ; decayed teeth, 2 ; facial paralysis, 1 ; puerperal septicaemia, 1 ; quinine, 1 ; adenoid growths, 1; from gun concussion, 1; pneumonia, 1 ; parotitis, 1. In the remaining cases no cause was ascribed. In a few of the above there was a double * Cerumen in these cases was the sole cause of the tinnitus, and it disappeared on its removal, or did so after some slight additional treatment.