Diseases of the ear / A. Marmaduke Sheild.
- Sheild, A. Marmaduke (Arthur Marmaduke)
- Date:
- 1895
Licence: Public Domain Mark
Credit: Diseases of the ear / A. Marmaduke Sheild. Source: Wellcome Collection.
Provider: This material has been provided by University of Bristol Library. The original may be consulted at University of Bristol Library.
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![of an intelligent nurse or mother must be taken into consideration. The observation that a child is deaf is usually a correct one, and though such an one may be conscious of loud sounds and musical notes, he may yet be unable to hear finer sounds, and hence the modulations of articulate speech. In this latter class of cases early education is most important. In cases of acquired deafness, when articulation is normal, the hearing should at once be supplemented by lip-reading. It is lamentable and astonishing how quickly the child will lose its speech and become dumb. It need hardly be pointed out that a careful examination of the ears, after the methods described in chapter i., is most essentia], and no reputable attempts at improv- ing the hearing should be neglected. Especially we may mention in this connection the use of the cotton- wool support in perforation of the drum, and careful investigation and treatment of the naso-pharynx. Before declaring the case to be one of congenital nerve-deafness, the surgeon must assure himself that the membrana tympani is normal, and that no disease of the canal exists ; that the nose is pervious and the pharynx not obstructed by growths ; that the tuning- fork is not heard on the mastoid. The question of congenital syphilis must be carefully considered, and this is especially aided by a careful ophthalmoscopic examination, and inspection of the teeth, skin, and margin of the anus. The condition of the other children, and judicious inquiries into the health of the parents, are also essential in this respect.* * Mr. Van Praagh, so well known as an expert on this subject, lias kindly revised tliis chanter, and has added a short summary of the methods he employs in the education of these children.](https://iiif.wellcomecollection.org/image/b2144657x_0280.jp2/full/800%2C/0/default.jpg)
