the stapes, wall of the labyrinth and posterior half of the mastoid
cells. The Eustachian tube may be easily worked out from the tympanic
cavity or from the pharyngeal opening.
A sagittal section of the middle ear may be made, giving pictures as
shown in Figs. 34, 35. The temporal bone is resected as above, the
tegmen tympani removed and the bony covering of the Eustachian tube
removed with hammer and chisel until the tube is exposed from its
pharyngeal opening to the isthmus. The temporal bone is then divided
into an outer and an inner half by cutting the roof of the tube with
fine straight scissors from the pharyngeal mouth to the bony portion
and then cutting the membranous floor of the canal likewise. The
bony canal, the floor of the tympanic cavity and the mastoid process
are then cut sagittally with a fine fret-saw, passing between the
lower annular segment of the sulcus tympani and the inner wall of
the tympanic cavity. By altering the direction of the saw-cut the
Eustachian tube may be removed in connection with either outer or
inner portion of the temporal bone.
[Illustration:
FIG. 34.—Sagittal section through left middle ear, outer half.
an, mastoid antrum; n, niche of the hammer-anvil body; op, mouth
of Eustachian tube; te, Eustachian tube; it, isthmus of tube; mt,
tympanum; ww, mastoid cells. (After Politzer.)
]
[Illustration:
FIG. 35.—Sagittal section of left middle ear, inner half. op, mouth
of Eustachian tube; te, Eustachian tube; tp, musc. tensor tymp.;
p, promontory; st, stapes; sp, musc. staped; f, facial nerve; an,
mastoid antrum; ww, mastoid cells; ot, ost. tymp. tubæ; u, lower
wall of tympanic cavity. (After Politzer.)
]
Other methods of examining the ear are shown in Fig. 32. The
tympanic cavity and labyrinth may be removed intact by cutting
with a chisel having a cutting edge 3 cm. broad, in the lines _1_,
_2_, _3_, _4_, _5_, as shown in Fig. 32. The cut _1_ is made with
the chisel held nearly horizontal and parallel with the base of
the skull. Cuts _2_, _3_, _4_ and _5_ are made vertically. Great
care must be taken not to splinter the bone. A small chisel can be
used to connect the ends of the cuts. Soft parts are cut away with
the chisel. An elevator is then introduced into cuts _1_ and _2_
and the part lifted out by cutting the remaining soft parts and
the articulation of the lower jaw. The portion removed contains
the inner section of the external auditory canal, tympanic cavity,
ear-drum, a portion of the mastoid cells, the entire labyrinth,
auditory and facial nerves.
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