Identifier: amerbook00star (find matches)
Title: An American text-book of the diseases of children ..
Year: 1895 (1890s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson Seiser, 1862-
Subjects: Children
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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rst ounce or so, the fluid ought to be stainedwith dissolved cerumen, the softened lumps should follow, and soon the re-sidual mass, softened and reduced in size, appears in the exit, and may behastened out, if it clings there, by a touch of the probe. If fair employmentof the syringe has not been thus successful, with good illumination and a steadyhand the mass may be touched with a probe, such as the cotton-carrier, andgently loosened, when the syringing will probably succeed. When the epidermalelement is large and the solubility correspondingly small, considerable instru- DISEASES OF THE EAR. 1107 mentation may be needful; but it takes a skilful hand to employ forceps orcurette Bafely or effectively. A small sharp spoon is a most useful instrument,for with it a channel can be excavated in the centre or side of the mass, por-tions displaced so as to be easily grasped and withdrawn by the forceps, or thewhole engaged and adroitly extracted. Yet it is decidedly dangerous, and the Fig.
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The Aural Syringe in Use. blunt ear-spoons more so than the sharp ones, since the operator is apt to pre-sume upon the supposed innocuous character of the former. First and last, andoften between-times, the syringing is to be relied upon as the really appropriatemeasure; and, well used, it will rarely need much help in securing completeremoval of impacted cerumen at the first sitting. On clearing the canal some con-gestion of the walls and drumhead is usually seen, with excoriation, perhaps,if the pressure of the mass has been ill borne or the manipulation rough in re-moval. The canal should be gently dried with absorbent cotton on the cotton-carrier, any excoriated surfaces lightly dusted with boric acid, and the exitfilled with a flake of cotton in order to exclude the dust and too rapid move-ment of the air. A repeated visit should be called for, to make sure of promptrestoration to normal; while any tympanic catarrh should be appropriatelytreated at the first as well as later visi

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