A case of acquired total deafness, the result of inherited syphilis; with post-mortem / by Walker Downie.

  • Downie, J. Walker, (James Walker), 1855-1921.
Date:
[1896]
Catalogue details

Licence: Public Domain Mark

Credit: A case of acquired total deafness, the result of inherited syphilis; with post-mortem / by Walker Downie. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    A CASE OF CONGENITAL MALFORMATION OF THE EARS. ■■' Bv WALKER DOWNIE, M.B., F.F.P.S.G., ■ • ;, j Lcclurer on Bis^axes of Throat and Kose, Glasgoio Uuinersity; Hon. Aurist, . Royal Hospital for tSiek Children, etc. The following case came under the observation, of Dr. Fer- guson, of Perth. The child, a male, which was born at iull term on September 3rd, 1895, was the result of the mother's fourth pregn'ancy. Dr. Ferguson, who has attended the mother at each of her confinements, says that hitherto there had been no departure from the normal configuration in any of her offspring. There is no consanguinity between the parents, and both aire healthy and well formed; and there is no evidence of physical deformity in the more extended family history. The child at birth was well nourished, of average size, and, apart from the malformations, fully de- veloped. When examined by me on October 15th, he was much emaciated, and cried almost continuously, the chief exception being when he Avas feeding at the breast. Both auricles were abnormal. On the right side (Fig. 1) there was a fully-developed auricle of fully average size, with the various elevations and depressions well marked; but, in addition to this, there was a blurred image of this auricle in miniature, springing from the site of the tragus, and with its hehx directed forwards. This supernumerary auricle seemed to consist oT •what might be described as a reflection—or,-perhaps better, mainly of skin and fet, with a small portion of cartilage on its inner aspect. In this supernumerary auricle might be traced a helix and an anti-helix, with a shallow linear depression representing the fossa of the helix, a well-marked concha, and a lobule in common with the lobule of the normal auricle. Immediately in front, and in part under- mining this supernumerary structure, was a deep rounded depression, just as if at some stage of development the tissue here had been scooped out to fonn the superniuncrary auricle.
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