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On examination, the meatus was found natural and the cerumen ordinary amount, the membrana tympani transparent, less convex than natural the handle the malleus By the otoscope, air was observed pass through the In the left ear the membrana tympani was more opaque Her previous treatment had consisted in merely syringing the ears and the introduction glycerine.

Nervous deafness produced overexertion.

Clarke, aged thirty-one, a tall, muscular carter, was admitted under my care Mary's Hospital, January.

He stated that fourteen years before, when out health, deafness came in the left ear, accompanied noises, sometimes like a kettle singing, at others like the ringing of bells.

On recovering his health, found himself perfectly deaf in the left ear, which has remained ever since.

Eleven weeks ago, when a good deal exhausted hard work, took a bad cold, during which singing came in the right ear, with loud noises, like the ringing bells, and were accompanied with serious an amount deafness that required spoken in a loud voice, within a yard his head.

The patient's pulse was weak, and had a worn aspect, as from exhaustion the nervous system. On examination, no appearance disease was visible in POST-MORTEM APPEARANCES IN DISEASED FACIAL NERVE.

either ear, and the Eustachian tubes were pervious.

Two grains quinine were ordered taken twice daily, and a stimulating liniment rubbed over the surface of the ears, at the back the neck, and down the spine.

In the course a week the noises decreased greatly, and in a fortnight they had wholly disappeared, while the hearing power gradually increased that when left the hospital at the end six weeks, use his own words, at times ACUTE INFLAMMATION OF THE FACIAL NERVE WITHIN THE FALLOPIAN CANAL.

f There occurs suddenly a cutting, drawing pain, without previous ear affection, in the cheek and the ear one side, increasing custom writing website pressure the stylo-mastoid online essay writing help foramen, and accompanied with paralysis the muscles the corresponding half the face.

Considerable febrile disturbance attends this affection from the very first day, and soon afterwards deafness and sounds in the ear are ushered If the disease not checked, pain in the head, delirium or coma, and chills, and febrile paroxysms, set in, and finally death. In more favorable cases, an abscess forms under the mastoid process, the opening which and the exit the pus exerts a beneficial influence, the pains in the ear and cheek, the paralysis the face and the fever, the hardness hearing and the sounds in the ear disappear, and the recovery of If the disease terminates in death, find, upon dissection, the facial nerve, throughout its course, from the stylo-mastoid foramen outward, spongy, soft, and swollen, the auditory nerve softened liquefaction pus in the labyrinth, and in the root the seventh and eighth nerves hearing a large quantity serum between the membranes the brain, the best article writing service cerebrum softened the membraua tympani and the meatus, the contrary, in their natural condition. This last circumstance the most valuable point in the diagnosis be Translated from Kramer's Aural Surgery the Present Day. tween the affection under consideration and acute and chronic inflammation the labyrinth, attended, as the latter usually also are, with paralysis the muscles the side the face corresponding the affected ear whilst this paralysis, best essay writing service canada in its turn, affords the best means distinguishing inflammation the facial nerve from nervous otalgia. An exaltation the hearing has been described as an especial characteristic symptom inflammation the facial nerve, and the consequent paralysis the muscles the face, and this phenomenon has been ascribed free thesis help a paralysis the tensor tympani muscle, which supplied the facial with a nervous branch Landouzy, Longet. If consider, however, that in the case adduced as proof this, the inflammatory process was only short duration and moderate development, the ensuing paralysis the facial nerve, the contrary, very long continuance, and in no wise corresponding the only sometimes accompanying exaltation hearing, and if also consider that the same exaltation of hearing takes place in very many other diseases the ear, must believe this theory entirely unfounded. Acute inflammation the facial nerve a very rare affection, and only caused the violent effect cold for instance, washing the face, whilst covered with perspiration, in cold water, cold currents air directed against the head, The prognosis doubtful, and through neglect the patient or physician, the inflammation may extend the brain and its membranes, and life endangered. The treatment must strongly antiphlogistic the necessity blood-letting must determined the general symptoms, and whether the brain involved. Otherwise, sufficient apply a large number leeches, which may even repeated, the neighborhood the stylo-mastoid help with making a thesis statement foramen, rub gray mercurial ointment into the surrounding parts, and, the occurrence painful swelling behind the angle the lower jaw, apply hot emollient poultices linseed-meal, and open with the bistoury, as soon as possible, the abscess, the slightest appearance fluctuation. APPEARANCES ON DISSECTION OF THE LABYRINTH. If the inflammation communicates itself the brain and its membranes, with the well-known symptoms, leeches and powerful purgatives, and ice-cold applications the occiput, are necessary, prevent, if yet possible, custom writing services united states exudations into the If the inflammation subdued, without, however, the paralysis the muscles the face being prevented, the inunction pustulating ointment or iodine ointment is proper, in order promote the absorption the exudations in the Fallopian canal, and thus remove the paralysis ACUTE INFLAMMATION OF THE LABYRINTH. The pains are in most cases deeply seated in the ear, and attended with violent fever, loss consciousness, and convulsions, in other cases only moderately severe, and extending cheap assignment writing help over the temporal region, and the corresponding half of the head, and attended with but slight fever, incapability of holding the head erect, drowsiness, vomiting a sero-purulent discharge takes place from the ear within the first twenty-four hours from the commencement the attack, but no alleviation produced, and death may take place in a few days, or in a few weeks, with the well-known symptoms inflammation the brain.

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