In diseases of the middle ear, attended with increased creased and perverted secretions, the surgeon often feels the need of methods more effectual than the old ones for evacuating this cavity. Serum and mucus may be absorbed if they are not too abundant, but in frequently recurring attacks of sub-acute inflammation, such as occur in persons subject to nasopharyngeal pharyngeal catarrh, nervous coryza, etc., the secretions are so profuse and attacks follow each other in such rapid succession, at certain seasons, that the middle ears contain mucus for periods of considerable length. Absorption may not occur after one attack before another supervenes. Unless these secretions can be removed, progress toward recovery is impeded, and the hearing is seriously impaired.
Instead of relying solely on the old methods of evacuation by injections into the middle ear, paracentesis centesis of the membrana tympani and inflation, I have employed a treatment so simple
BISHOP SS. NOVEL METHODS OF TREATING DISEASES OF THE MIDDLE EAR.. JAMA. 1887;VIII(3):67–68. doi:10.1001/jama.1887.02391280011002b
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