Identifier: textbookondiseas00burn (find matches)
Title: A text-book on diseases of the ear, nose and throat
Year: 1901 (1900s)
Authors: Burnett, Charles H. (Charles Henry), 1842-1902
Subjects:
Publisher: Philadelphia and London, J. B. Lippincott company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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val of such a fold of mucous membrane is generallystimulation sufficient to excite the rest of the uvula to contraction. Theentire removal of the uvula is as reprehensible as it is common. Garglesalone will often contract the uvula. Gargles.—On^ of the simplest and best gargles in the pharyngitiswhich usually attends chronic aural catarrh is a saturated solution ofpotassium chlorate. Gargling not only aids in healing a pharyngitis, butit benefits the hearing by the gymnastic effect on the velum and the im-proved ventilation of the drum-cavity. The difficulty of diagnosticating the presence of fluid or even inspis-sated mucus in the tympanum, in cases of chronic catarrh, depends onseveral causes. The chief obstacle is, of course, the more or less alteredcondition of the membrana tympani. This may be so uniformly thick asto prevent seeing the delicate outlines of bubbles of mucus lying againstits inner surface. If it is cicatrized at any point, the retained fluid will PLATE III. ■WW
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Burnetts mounting of the Chevalier Jackson pneumatic masseur, fitted with the modifiedSiegle pneumatic otoscope. TREATMENT OF CHRONIC CATARRHAL OTITIS MEDIA. 145 cause a bulging at the cicatrix almost invariably, especially after infla-tion ; but, if the membrane is uniformly thick, the mucus cannot makeit bulge at any one point. If only one ear is affected, the examiner willbe aided in his diagnosis by comparing the two ears. He will be guidedhj the difference in position between the two membranse and also by thecolor. The membrana behind which there is retained fluid will bulgemore than its fellow, if the drum-cavity be full of recent thick exuda-tion ; less so, if the matter in the drum be an old fluid accumulation.The color of the membrane is affected by the matter retained behind it.Instead of being bluish-steel in color, it becomes a tint of gray-amber.These are guiding-points in favor of x^aracentesis, even if bubbles in thefluid cannot be discerned behind the drum-head. If flu

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