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Dr. Justyn Karlinsky reports three rare and curious cases of voluntary mutilation, observed by him in the Roumanian Army. In the first case examination showed traces of traumatic lesions in the internal auditory meatus; but the functional symptoms were not justified by any lesion of the membrana tympani, nor of remainder of the ear. Simulation was suspected; lesions of greater or less extent were found at each examination, and finally the head of a phosphorus match was found in the secretions. There was no perforation of the drum-head in this case. In the second case there was perforation, with subacute internal otitis, caused by the introduction of a piece of unslaked lime, which was then moistened. Fragments of the lime were found in the auditory canal. In the third case Karlinsky found a large perforation with everted edges, which had been produced by a curved piece of iron wire. The
VOLUNTARY MUTILATION BY PERFORATION OF THE MEMBRANA TYMPANI. JAMA. 1888;X(21):659. doi:10.1001/jama.1888.02400470023007
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