Charles G. Putnam, M.D
Boston Medical and Surgical Journal
the laxity of the membrane. When the destruction of the membrana tympani affords a free outlet for the purulent secretion which may form in inflammation of the middle ear, the region of the membrane of Shrapnell is commonly left intact. But when the membrana tympani, thickened by previous disease, offers a stubborn resistance to the effects of the inflammatory and suppurative process within, or when the perforation which finally occurs is too small to afford an adequate opening for the escape
... ng for the escape of the discharge, perforation of the membrane of Shrapnell may occur. Dr. Henry 1). Noyes reports a case of Irritation of the Chorda Tympani, with Paralysis of the Facial. The patient, a physician, gives in his own words a clear statement of his symptoms before coming under the care of Dr. Noyes. It is stated that cases of persistent irritation of the chorda tympani are not often recorded, and the facts of the case reported are valuable clinically and physiologically, confirming as they do the results of experiments on animais. In a paper on Neuralgia in and about the Ear, Dr. J. Orne Green calls attention to a variety of reflex neuralgia of the tympanic plexus, the result of disease of the larynx. He mentions that Dr. S. W. Langmaid has read a paper on several cases of epithelioma of the larynx, in some of which an excruciating neuralgia of the ear was the prominent symptom ; this continued till death, and could not be relieved. Dr. Green has seen neuralgia of a like character present in a case of well-marked laryngeal phthisis. No disease of tho ear could be discovered.