Affections of the Ears

175 years of experience of some of the most brilliant medical doctors and teachers

AUDITORY POLYPI

Polypi in the ears, as in the nose, colon and vagina, accompany long continued catarrhal and suppurative processes. They are to be cared for as advised for nasal polypi.

DEAFNESS

Definition: Dull hearing or inability to hear at all.

Symptoms: The trademark side effect in all cases is the hindrance or nonattendance of hearing. The disability is typically scarcely perceptible toward the beginning and advances gradually to finish loss of hearing. There are, until deafness is finished, relentless head clamors, with whistlings and roarings and ringings inthe ears. There are times of sickness and different side effects of unexpectedweakness. Usually, there is an absence of physical and enthusiastic parity and an absence of typical social modification.
Affections of the Ears
Etiology: It is assessed that at any rate, five out of each hundred individuals experience the ill effects of pretty much disability of hearing or around six and a half million such victims in this nation. 80% of these cases are becauseof catarrhal irritation of the Eustachian tube and inward ear. Cases follow measles, red fever, and other "irresistible" fevers regularly. A huge number ofcases follow colds.

A catarrhal condition beginning in the throat and stretching out up to the Eustachian cylinder or cylinders brings about intense otitis media and mastoiditis. The Eustachian cylinder may get impeded by attachments. Whenthe aggravation arrives at the Eustachian tube, the center ear and its ossicles may early become seats of pathology and eventually, complete deafness may result. The ossicles may become ankylose. Deafness may likewise result from outer injury to the ear — blows, outside bodies, blasts, and so on. The decay of the sound-related nerve, as from the utilization of quinine or arsenic, and pathology of the mind including the sound-related focus may cause deafness. Deafness not because of outer injury is just one more of a large number of impacts of toxemia becoming out of enervation, which, thusly, becomes out of an inappropriate life.

Prognosis:
It is evaluated that ninety-five percent of instances of catarrhal deafness can be reestablished to ordinary hearing in their beginning phases. Why not all cases in the beginning phases? Reverberation answers: "why not?". Deafness because of decay of the sound-related, focus, ankylosis of the ossicles, and different pulverization of the structures of the ears can't be helped.

Care of the Patient: Catarrhal deafness yields promptly and rapidly to fasting. We have terrible instances of a quarter-century remaining, to recoup typical hearing in half a month. Disappointment in these cases is because of the disappointment of the patient to do directions. All reasons for enervation and toxemia must be amended and expelled. Nearby treatment of the ear is of no worth, with the exception of in those situations where there exists a grip of the Eustachian tube. This may require mechanical expulsion, a thing that may regularly be finished with the fingers.

OTITIS EXTERNA

Definition: This is inflammation of the external auditory canal. It is divided into diffuse, circumscribed, hemorrhagic, croupous, and diphtheric forms. These distinctions are of no practical value.

Symptoms: Radiating pains, especially when moving the jaw, or when pressure is applied, ringing in the ears, dizziness, itching, and, when the inflammation is great, impaired hearing; in severe form, loss of appetite and fever, are the chief symptoms. In the croupous and diphtheritic forms there are exudates from the ear.

Etiology: External injury, infection and toxemia are the causes.

Care of the Patient:
Thorough and frequent cleansing of the auditory canal is most essential. Other than this, no. food should be taken until the symptoms have subsided.
OTITIS MEDIA
Definition: This is inflammation of the cavity of the middle ear. It is a very common affection in babies and young children who are fed and cared for in the usual manner. Several forms are described, as acute otitis media, or acute catarrhal inflammation of the middle ear; sub-acute catarrhal otitis media; acute purulent otitis media; chronic catarrhal otitis media; and chronic purulent otitis media, or chronic suppurative otitis media; but these distinctions are of no practical importance.

Symptoms: The symptoms are earache, and sometimes discharge from the ear. In some cases there is no ache and the first indication of trouble is the discharge. Fever, crying, and restlessness are the chief symptoms in babies. The child may continually place its hand on its ear. The child will often scream and it keeps this up-no matter what is done for it. In other cases, where there is apparently no pain, there is fever. Most of the long list of symptoms the standard texts list under the above forms of otitis media can be found only by instrumental examination, hence to list them can be of. no. service to .the average reader.

Etiology: Exposure to cold is the cause, according to popular superstition. Medical superstition has it that the condition arises out of an acute cold, an infection in back of the nose, etc. Otitis media is an extension of catarrh which passes up the Eustachian tube to the middle ear and is due to the same things that cause catarrh in any other part of the body. Acute inflammation of the middle ear may be either catarrhal or purulent, but the affection frequently passes from catarrhal to purulent so that in many cases it is extremely difficult to make a distinction. Purulent inflammation of the middle ear usually occurs in connection with acute or chronic naso-pharyngeal catarrh and is due to the same causes that produce acute catarrhal otitis media. Chronic otitis media is the aftermath of one or more acute crises. These conditions are frequent developments in scarlet fever, measles and other infections.

Prognosis: This is good if Hygienic care is employed early.

Care of the Patient: Most cases of this trouble last but a few hours and, while they cause considerable pain, do not result in a discharge or any serious trouble. The old-fashioned "remedy" was to place a hot "poultice" over the ear — a bag of hot ashes, hot peach-tree leaves, hot sand, etc., depending on which of these substances one placed his faith in. I recall an instance when my father filled his pipe with tobacco and lit it. Placing a thin cloth over the bowl of the pipe and placing the end of the stem near the entrance of my ear, he blew through the cloth and sent the hot smoke into my painful ear. This soon brought relief, as will heat, however applied. The "virtue" in the poultice did not lay in the ashes or the leaves, but in the heat. Today the hot-water bottle or the therapeutic lamp are used for the same purpose and with about as much blind faith in their "curative" powers.
The heat gives relief from pain, but I doubt that it is in any way beneficial. I am inclined to think it is harmful. I know that doctors and parents tend to consider the condition cured when the pain is relieved. The basic causes of the trouble are not corrected.
These children should be put to bed and all food withheld from them so long as the pain lasts. After this, their diet and hygiene should be adjusted in such a manner as to produce and maintain health. If this is done there will be no recurrence. Do not syringe the ears. Keep everything out of the child's ear.
MENIERE'S "DISEASE"
Definition: A term applied to a symptom-complex characterized by deafness, ringing in the ears, and paroxysms of intense vertigo.

Symptoms: The paroxysms may occur daily or at intervals of weeks, and may culminate in vomiting or even in fainting.

Etiology: These symptoms are apparently due to lesions in the labyrinth of the ear and may be due to either hemorrhage or to degeneration of the nerve-endings. Or, in some instances, it follows affections of the middle ear. Tumors in certain regions of the brain may also produce these symptoms.

Prognosis: The condition usually lasts throughout life; occasionally when the loss of hearing on the affected side becomes absolute, the other symptoms cease.

Care of the Patient: Fasting, rest and a Hygienic mode of living-offer hope of recovery in many cases.
STRICTURE OF THE EUSTACHIAN TUBE
The Eustachian tubes run from the back of the throat to the ears, one to each ear. Closure or stricture excludes the air from the inner ear and results in partial or, total deafness in the ear on the affected side.

Etiology: Stricture and constriction are due to three causes: (1) pressure by tumors; (2) osseous growths in the bony canal; and most frequent of all (3) chronic catarrh.The first of these causes may frequently be absorbed by fasting, the third may always be removed by fasting; the second cannot be so removed. Adhesions often form in catarrhal conditions and if these are not broken up by fasting, may need instrumental attention.
ANEMIA OF THE LABYRINTH
This is a deficiency of blood in the labyrinth and is part of general anemia, or from obstruction to the blood supply by a tumor, aneurysm, etc.

Symptoms: Deafness, faintness, ringing in the ears, vertigo, nausea, and vomiting are the chief symptoms.
HEMORRHAGE INTO THE LABYRINTH
This is a slight extravasation of blood in the labyrinth resulting from inflammation or fracture at the base of the skull, concussion of the skull, necrosis of the temporal bone.
HYPEREMIA OF THE LABYRINTH
This is an excess of blood in the labyrinth and is seen in severe otitis media, scarlatina, diphtheria and other acute exanthemata.

Symptoms: Vertigo, giddiness, vomiting, inability to walk steadily, ringing in the ears, and a feeling of fullness about the ears are the symptoms of acute hyperemia.
The above three conditions are mere symptoms and care should be directed at the primary pathology.