This accident will be considered when we treat of otitis media, another grave complication.
Boric (boracic) acid has been recently used by aurists with remarkable success in suppurating and granulating otitis media, and by oculists as an eye-wash.
In a similar way, the external ear may be involved, the tympanum disappear, a severe otitis media supervene, and the mastoid cells become filled with pus and detritus of necrosed tissue.
If, therefore, theotitis continue without mitigation of pain after the above measures have been employed, paracentesis of the drumhead is probably required.
The sequelæ of otitis media, such as granulations sprouting out from the drumhead, some of which may be of large size and are known as polypi, may require treatment by the aurist.
If the otitis have continued unchecked by treatment until the secretions within it, after days and nights of suffering, have escaped by ulceration through the drumhead, the opportunity for prompt and certain cure is passed.
In a considerable proportion of cases of otitis media this tube is occluded by the infiltration and swelling of its mucous membrane, so that the muco-pus escapes with difficulty or is retained.
Therefore, otitis media, though it often ends favorably, is in many patients an obstinate, dangerous, and even fatal sequel of scarlet fever.
Death not infrequently occurs in chronic otitis media in another way.
Otitis media is seldom immediately dangerous, although it may be painful and involve serious consequences, even a fatal meningitis, as has been stated above, after months or years of otorrhoea.
Sometimes otitis media results from extension along the Eustachian tube, and sometimes suppuration of the membrana tympani, suppurative external otitis, or disease of the internal ear with extension to the cerebrum.
An otitis which under ordinary circumstances would give rise to no symptoms at all besides some inconvenience or slight pain will prove the source of great danger in a rachitical (craniotabic) infant.
Purulent otitis media follows dentition in some infants, usually, if not invariably, of a scrofulous diathesis.
At the otoscopic examination by a specialist, only residuals of the old catarrhal otitis with retraction of the tympanic membrane were found.
His conduct seemed normal at first and he explained that he had heard noises and singing in his head,--pointing to the left ear where there was an otitis media.
See especially chapter on the functional examination of audition in Bourgeois and Sourdille’s War Otitis and War Deafness, a work translated and highly recommended by the English otologist, Dundas Grant.
The patient suffered from infantile otitis media bilateralis, which was followed by abundant chronic otorrhea from his fifteenth year.
If there be recurring attacks of discomfort or of pain in the ear as a result of eczema, of otitis externa, or of actual pressure of the growth itself.
Amongst secondary septic infections are catarrhal conditions of the Eustachian tube and otitis media, and catarrhal infection of any part of the air-passages.
Deafness, earache, and otitis media will sometimes follow the operation, even when the use of a nasal douche has been carefully avoided.
If the lotion be sent up the nasal chamber on the same side it will only drive the intruding substance further in; if injected on the opposite side there is risk of otitis media.
In an infant or young child, if the symptoms develop in the course of an acute otitis media, the tympanic membrane should first be inspected to see if there is sufficient drainage.
When it comes to ear and eye conditions, Atophan certainly would do no good in otitis media, panophthalmitis, choroiditis, retinitis, etc.
Pyelitis, tuberculosis, and latent otitis media occur with nervous children as with others and must not be overlooked.
Acute suppuration may occur in the mastoid cells in the course of an attack of acute otitis media, or as a result of interference with drainage in chronic suppuration of the antrum and middle ear.
The treatment of acute otitis media varies with the severity of the attack.
When the adenoids encroach upon the Eustachian cushions, the patient suffers from deafness, frequent attacks of earache, and sometimes from suppurative otitis media with a discharge from the ear.
We found a thin and anemic girl, not at all prepossessing in appearance, dull in expression, suffering from a chronic suppurating otitis media.
Of the sense organs:--Otitis media; Nephritis and Muscular Rheumatism are also observed.
