SURGERY

J. WILLIAM WHITE, Alfred C. Wood, C. L. Leonard
1893 American Journal of the Medical Sciences  
OTOLOGY. 205 operation could then be performed in a similar manner to internal urethrot¬ omy. The cutting should be retrograde, if possible, the instrument being first passed through the stricture from above. Bougies should be passed by the wound in the neck frequently and the patient fed by rectal alimentation, and directly into the stomach, until bougies can be passed by the mouth and the wounds allowed to heal. In all cases of ulceration of the oesophagus, sounds should be passed after the
more » ... passed after the fourth or fifth week, and a continuance through life may be necessary. External ccsophagotomy often makes it possible to pass a stricture that was impossible from the mouth, and a gastro-enterostomy will often allow the passage of a sound upward that could not pas3 the stricture in any other way j and by means of a continuous silk thread remaining constantly in the oesophagus, and passing out at the mouth and the wound in the stomach; gradual dilatation by means of bougies passed over it can be accomplished. OTOLOGY. removal of the membrana tympani, the malleus, and the incus for the relief of chronic otitis media suppurativa, and chronic catarrhal otitis media, and finally to the investigations of Botey, of Barcelona (1891), regarding the removal of the stapes in birds and in man, he proceeds to describe his own operations for the removal of the stapes for the relief of deafness in both chronic otitis media suppurativa and in chronic otitis media catarrhalis, undertaken with the aid of Dr. W. T. Bryant. Then follows a list of sixteen cases, three actively purulent, in which all the ossicles or their remnants, including the membrana tympani, were removed, and thirteen non-purulent or chronic catarrhal ones, in which only the stapes was removed. In one of these latter cases the incus fell from its situation after detachment from the stapes. There was very marked improvement in hearing in all. In one of the cases of chronic catarrhal otitis media the improvement in hearing follow¬ ing the removal of the stapes was so great as to induce the patient to return in three months and request the performance of the operation in the other ear, also deaf from chronic non-suppurative catarrh. The operation was
doi:10.1097/00000441-189302000-00013 fatcat:bi7dub5tefcktkof7o62wk45fy