Otological memoranda : being clinical observations illustrative of the diseases and injuries of the ear / by James Patterson Cassells.

  • Cassells, James Patterson, 1837-1884.
Date:
[1876]
Catalogue details

Licence: Public Domain Mark

Credit: Otological memoranda : being clinical observations illustrative of the diseases and injuries of the ear / by James Patterson Cassells. Source: Wellcome Collection.

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    part of the statement being verified, I yet felt that I could not give the opinion my unqualified concurrence, simply because I was satisfied that the growth of the hyperostoses, if still going on, was due to the extensive disease and long- continued irritation in the tympana, and that the arrest of this growth was possible by the removal of the exciting cause. I was glad for the patient’s sake that I could express an opinion to this effect; it calmed his fears, and he willingly acceded to my proposal to treat the disease of the tympana. Six months’ treatment sufficed to remove all morbid active processes, and to improve the hearing very considerably—indeed, to a degree almost normal. At the end of the period just mentioned, the tissues covering the hyperostoses were pale and healthy in every respect, and their unnatural sensitiveness quite removed. The case has been seen occasionally during the last twelve months, and although no apparent diminution has taken place in the size of the bony tumours, it is beyond doubt that they have not enlarged since they were first seen by me. The progress of the whole case is satisfactory ; damages, the consequences of long-standing disease, are being repaired slowly, and the hearing, originally much impaired, is now uniformly good, and sufficient for all the business of life. Injuries of the auricle in this country are comparatively rare, still more rarely are they followed by malignant disease, as in the following case, which on that account possesses some interest. Case V.—A strong, healthy, labouring man, set. 50, at¬ tended at my clinique, and gave the following history :—• Several years ago he received a severe blow on the right auricle, without, however, causing any wound of it. Shortly after] this, the swelling, which the blow had caused, and which had never completely subsided, increased and ulcer¬ ated. ^Treatment of a kind was carried out for some time without effect. The ulceration increasing, he came to town, and again carried out treatment for sometime, with a like failure. At this time, so far as could be learned from the patient, the ulceration was confined to the lobule. On his first visit