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October 22, 1892

SOME OBSERVATIONS UPON EXCISION OF THE MEMBRANA TYMPANI, AND THE TWO LARGEST AUDITORY OSSICLES.Read before the Section of Laryngology and Otology, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June, 1892.

Author Affiliations


JAMA. 1892;XIX(17):494-496. doi:10.1001/jama.1892.02420170018001g

A year ago I read in this Section a paper upon excision of the membrana tympani and the two largest auditory ossicles, in which two sets of indications for the operation were set forth as follows:

1. The deafness, tinnitus and vertigo of chronic catarrhal otitis media, especially when adhesions exist between the membrana tympani and the promontory in the inner tympanic wall, or when there is evidence of synechiæ between the ossicles.

2. This operation is indicated in the suppuration, deafness, tinnitus, vertigo, headache, and recurring earache of otitis media purulenta chronica.

Conclusions regarding the results of the operation in cases of chronic catarrhal otitis media were presented as follows:

1. The operation of excision is attended with no bad results, even if it do no good, and its effects are superior to massage, mobilization, plicotomy, etc., etc., applied to the membrana and the ossicles.

2. The most constant