The Aural Surgery of the Present Day

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"Wilde describes this faint noise as " a sort of thug, '"' which he considers, with Toynbee, Erhard^ and others to be a satisfactory proof of the complete absence of any obstruction in the middle ear, but in which, as a^ means of diagnosis, it rec[uires a very lively imagination to discover any value.
The diseases of the internal ear are unfortunately completely inac- FREQUENCY OF AURAL DISEASES. 33 cessible to our ])liysical method of examination, and we must there- fore endeavour to remedy th
...is deficiency partly by negative, and partly by functional symptoms. Hitherto all such attempts have been fruitless, but at a future page we shall have the opportunity of entering more fully upon these important circumstances when treating of the diseases of the middle ear. The majority of the diseases of the external and middle ear are essentially inflammator}-, and the inflammation has a great tendency to become chronic. To what extent this is true, in regard to the parts constituting the internal ear, has not yet been satisfactorily determhied by dissection, and much less, therefore, during the life of the patient.

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