Syllabus of the course of lectures on the principles and practice of surgery: delivered in the Jefferson Medical College, Philadelphia (Part 3).

  • Mütter, Thomas D. (Thomas Dent), 1811-1859.
Date:
1843
Catalogue details

Licence: Public Domain Mark

Credit: Syllabus of the course of lectures on the principles and practice of surgery: delivered in the Jefferson Medical College, Philadelphia (Part 3). Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    INTERNAL CHRONIC OTITIS. CHRONIC INFLAMMATION OF MEMBRANA TYMPANI. Causes. Effects.—Ulceration ; perforation ; complete destruction. Mode of inspection and examination.—By speculum ; by forcible expiration ; by sounding and by the otoscope. Symptoms. Diagnosis.—May be confounded with disease of meatus, or of tympanic cavity. Prognosis.—Unfavorable to audition. Treatment. CHRONIC INFLAMMATION OF TYMPANUM. Forms.—Primary. Consecutive. Seat of disease.—Mucous membrane ; frequently extending to the cellular tissue, and onwards to periosteum and bone. Causes. Effects.—Perforation of membrana tympani; loss of ossicula; abscess of mastoid cells; caries of petrous bone; effusion of pus under dura mater or between the cerebral membranes. Symptoms. Diag?iosis.—May be confounded with other inflammatory diseases of internal ear, with meningitis or phrenitis. Prognosis.—Unfavorable. Treatment.—Modified antiphlogistic ; injections of mild fluids through the eustachian tube. RELAXATION OF MEMBRANA TYMPANI. Definition. Varieties.—1. From want of tone in the membrane. 2. Paralysis of the internal muscle of the malleus. 3. Rupture of the same muscle. Causes of each. Symptoms. Diagnosis. Prognosis.—Of first two, favorable; of the last, unfavorable. Treatment.—Dry warm tonic applications ; tonic and astringent injections. CARTILAGINOUS AND OSSEOUS CONDITION OF MEMBRANA TYM- PANI. Causes. Symptoms. Diagnosis, Prognosis. Treatment.—By perforation. History of operation.—First proposed by Cheselden; proposed and performed by Sir Astley Cooper in cases of obliteration of eustachian tube.