This historic book may have numerous typos and missing text.
Purchasers can download a free scanned copy of the original book
(without typos) from the publisher. Not indexed. Not
illustrated.1872 Excerpt: ... 173 LECTURE XI. CHRONIC AURAL
CATARRH.--(Continued). Gentlemen, --The appearances of the throat,
in both acute and chronic aural catarrh, have been rather fully
described when speaking of those parts of the middle ear most
immediately connected with the naso-pharyngeal mucous membrane;
(see pages 113-115, the Eustachian tubes), so that it is
unnecessary to dwell longer upon them in this lecture. The more
closely we study the throat symptoms m all aural diseases, the more
frequently shall we find facts demonstrating that pharyngeal
affections, of whatever nature or origin, are most intimately
associated with catarrhal inflammations of the ear. Accumulations
of phlegm, or the opposite condition of unusual dryness of the
throat and nose, the altered character of expectoration, the odour
of the breath, a certain difficulty of swallowing, the tickling
cough, the open mouth through which the patient habitually
breathes, snoring, thickened speech, &c, &c, are all local
symptoms which more or less declare themselves in a deafness which
has been primarily caused by a throat affection, and then has
continued. These are such common accompaniments of chronic aural
catarrh, that it would be a waste of time to describe them more in
detail. Though patients may oftentimes forget to specify that they
have experienced any or all of them at some period during the
course of their malady, yet upon being closely questioned, they
will generally be able to refer the accession of their deafness to
some such evidences of throat ailment Recollect that the soft
palate, fauces, nose, Eustachian tube, pharynx, cavity of the drum,
and salivary glands, are very fully supplied with nerves, both
motor and sensory, of varied origin and distribution; and that,
therefore, when these parts are m..
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