The conduct of the mastoid operation for the cure of chronic purulent otorrhaea ... / by Charles A. Ballance ; together with remarks on the cases which require the operation, by William Dalby.

  • Ballance, Charles Alfred, Sir, 1856-1936.
Date:
1900
Catalogue details

Licence: In copyright

Credit: The conduct of the mastoid operation for the cure of chronic purulent otorrhaea ... / by Charles A. Ballance ; together with remarks on the cases which require the operation, by William Dalby. Source: Wellcome Collection.

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

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    History.—Has had discharge from right ear ever since child- hood. The first occurrence of discharge followed au attack of measles. Pain in the ear if sometimes severe, and has been accompanied Avith vertigo and vomiting; fifteen years ago she saw Sir William Dalby, who told her husbaud her life was in great danger. Present condition.—Slight offensive discharge from right ear; drum granulating, and there is a central opening which is in part obstructed. Pus is oozing from pharyngeal opening of Eustachian tube; pus sometimes comes through the right nostril; no optic neuritis ; watch two inches ; no mastoid signs. September 8th, 1899.—Complete mastoid operation. Tym- panum and antrum enlarged by cholesteatoma ; roof of antrum absent; walls of tympanum and antrum carious; Sir William Dalby was present. 26th.—Epithelial grafting operation. This operation was delayed by my absence from London ; two grafts were used. October 1st.—Plug and gold-leaf removed. The whole bone area is covered by the adherent grafts. 31st.—Patient examined by Sir William Dalby, Mr. Cumber- batch, and several other medical men, who all agreed that the healing process was complete. December 21st.—Dr. Heygate Vernon, oE Bournemouth, reported that the result of operation was perfect. January 23rd, 1900.—Watch heard at three inches. Case 9 (The Hospital for Sick Children, Grreat Orniond Street).—H. W—, male, aged 4|; admitted September 13th, 1899. History.—In January last he had scarlet fever, which was followed by otorrlioea. In hospital last April with left otor- rhoea and left mastoid abscess ; the abscess was incised and the antrum opened. Present condition.—Small abscess in scar over mastoid; foul left otorrhoea, which has continued since last operation ; skin over mastoid mostly destroyed; house surgeor nened abscess over mastoid on admission. September 30th.—Complete mastoid operation. Condition very foul; caries and sequestra removed; a flap of skin was slid forwards to cover mastoid region. October 4th.—Epithelial grafting operation.
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