New-York daily tribune. [volume] (New-York [N.Y.]) 1842-1866, 1863-10-10

wash ont the cavity with bland uids injected through
the Eusachian TUBE. might DO attended with success
provided the abnormal deposit is confined to the
| tympanum.
The unnatural enlargement or dninuton In the size
Of the cavity and the variation in the structure or nun
Der Of ossicula, will be altogether irremedlablc.
It will be advisable first to treat Of the severer form
Of inflammation with Its acute effects; and then to dis
the mder but very often the more insidious form
Of this disease.
The symptoms OF the severe affection, to certain ex
tent resemble those Of Otis ertrna, differing In con-
sequence OF the difference Of the pathology OF the az
fcted structures Of their greater severity and Of the
circumstances of the matter after having formed not
meeting with an easy outlet.
The symptoms arc at one time usherod in by severe
pain In the Ear which is often neglected ond regarded
as being commonly what is called Earache. and which
may continue only for few hours, or 1t may persist
with occasional eIacerbat!ons for two three days
when suddenly more less extends to the whole of
that side OF the head
In other cases the symptoms commence with intense
headache or insupportablc Hmie'anir, the febre eI
citement is most severe the eyes injected. wntery
and ntolcrant Of light the countenance is flushed and
anxious the skin hot and dry; the pulse frequent aud
hard tie sccrctions suspended, the pain becomes
excessive and extends throughout the whole head. but
is moro severe on the side affected. and the patient
particularly refers as the the most painful part "a the
auditory eaaal tinni,u, durHn 10 frequent distress
Ing accompaniment, tie pain Is increased by noises
even the slightest by the movements Of the Jaw and
attempts a, deglgon and frequently shoots through
the brain and extends to the aue the disease Is at
tended by erum often very volen, at the outset but
toward the close becoming low. accompanied by nut
,erings and occaslonagors Initsprosress the iniam
nation spreads to the masoid process. which becomes
hot and painful to the touch as well as the phnrynI
tonsil. etc. which are then tumeded and reddened
The severity Of tie symptoms frequently abates in the
morning. rcsccesson of,en accompanied by risors
coming on in the evening Tho patient is also deaf on
the affected side
so far tho symptoms though Indeed acute. are INSULT
Glen, 20 distinguish Inflammation Of the tyrpenu from
the mos, severe form Of eternal os to perfect the
diagnosis 4, is necessary TO ascertain that the auditory
easi is fee rom disease and TO take into consdcTa'
ton the longer interval Of time between the FIRST aces
sion Of pain and appearance Of discharge
In ,faai osif, the muco purulert secretion occurs
In few days or even few hours in the internal dis
case a week oT more viii capse before any matter Is
discovered and then escapes suddenly either through
the e. .eelaa pbe or through the liberated massoid
cells whereas IN the crsraoI d'eo" it is preceded by
q ,crous moisture.
This may be considered tie lrs, siege Of the dis
ease and "a that OF Inflammation terminating IN suppn'
ration Il sometimes happens that timely treatment In
good constitution 80 lessons the Inflammation that
terminates IN secretion. or IN resolution but
In the great majority Of instances 1t passes on 20 supiu
ration AID the escape Of pus may constitute the second
stage.
Tie distressing symptoms are no, relieved when cup
pufaios Is COMPLETED In consequence Of tie pas OK mat
ter being , retained In the ynpanal cavity; no Ger
tain data therefore exists by which 1t DO known
,ha, The secretion has taken place until it makes It's exit
which may happen In week. or may not occur until
4 .aor two or three weeks.
The pus 4. discharged most frequently through the
j. rsmgrsrs fynpsni either by rupture, to which 1t may
10 prone in consequence Of its inanmed condition. or
which more common by Of liberation. which
often takes place 70 great extent Iard has supposed
tia, tho greater frequency Of the matter being dis
charged through the membrane than the Eus,aoh!an
tube i, TO
The first stage Of the inflammation generally close
the Esraehisn Ta1s by adhesion and hence tie dill
Guilty Of tie matter finding Its exit in tina, direction
when the suppurs,ion has extended back to the naoie
e The integuinen covering the assumed
a dark liyid color often attended with ndistinc
auc,ua,ion. liberation or even soughing may occur
or the abscess be opened arhclally when the matter
mixed with blood finds eocape. accompanied by eX
fola,ions Of the cells.
The pus In all cases is offensive and particularly dis
agreeable to the taste when passed through the
ges into the laynI occasionally the oSsicula are dis
charged at the same time through the membrane OF
masiOf procs, but they usually away a, subse
quent period.
when tho is favorable the patient experiences
subsistence Of his distressing symptoms suddenly
the escape Of matter occurs and the improvement IL IN
II proportion TO the freedom OF the discharge which
either In consequence Of the great consistsncc
Of the matter closing tho opening In the membrane OF
~ Ghr IN Tho firm If lic crlats flllng