The Home Medical Library, Volume 2 (of 6) — John Shaqi
The Home Medical Library, Volume 2 (of 6)
Science
The Home Medical Library, Volume 2 (of 6)
Medicine; Medicine, Popular
The illustration on the opposite page shows the interior structure of
the ear. The concha and =Meatus=, or canal, comprise the external ear,
which is separated from the middle ear by the =Drum Membrane=. Wax is
secreted by glands located in the lining of the meatus, and should be
detached by the motion of the jaws during talking and eating. If it
adheres to the drum membrane it causes partial deafness.
The internal ear, or labyrinth, a cavity in the bone, back of the
middle ear, consists of three parts: the =Cochlea=, the =Semicircular
Canals=, and a middle portion, the =Vestibule=. The middle ear is
connected with the throat by the =Eustachian Tube=.
Sound vibrations, which strike the drum membrane, are conveyed by
means of a chain of three small bones through the middle ear to the
nervous apparatus of the internal ear. The Eustachian tube and middle
ear are lined throughout with mucous membrane, and any severe
inflammation of the throat may extend to and involve the tube and the
middle ear, causing deafness.]
=MODERATE OR SLIGHT EARACHE.=--A slight or moderate earache, which
may, however, be very persistent, not sufficient to incapacitate the
patient or prevent sleep, is often caused by some obstruction in the
Eustachian tube, either by swelling or mucous discharge. This
condition gives rise to the train of effects noted in the section on
deafness. The air in the middle ear is absorbed to some extent, and
therefore the pressure within the ear is less than that outside the
drum, so that the latter is pressed inward with the result that pain,
and perhaps noises and deafness ensue, and, if the condition is not
relieved, inflammation of the middle ear as described above.
=Treatment.=--Treatment is directed toward cleaning the back of the
nose and reducing swelling at the openings of the Eustachian tubes in
this locality, and inflating the tubes with air. A spray of Seiler's
solution[3] is thrown from an atomizer through the nostrils, with the
head tipped backward, until it is felt in the back of the throat, and
after the water has drained away the process is repeated a number of
times. This treatment is pursued twice daily, and one hour after the
fluid in the nose is well cleared away the Eustachian tubes may be
inflated by the patient. To accomplish this the lips are closed
tightly, and the nostrils also, by holding the nose; then an effort is
made to blow the cheeks out till air is forced into the tubes and is
felt entering both ears. This act is attended with danger of carrying
up fluid into the tubes and greatly aggravating the condition, unless
the water from the spray has had time to drain away.
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