The Ear Its Anatomy Physiology And Diseases

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So great is this relaxation, that the flaccid walls cannot be forced apart by any of the ordinary means of inflation.
Be this as it ma}-, the cause of this muscular weakness, atrophy, or paresis, is, in my opinion, to be considered secondary 1 Weber-Liel, op. Cit. , p. 35. ^ Quoted by Weber-Liel, loc. Cit.
f CHRONIC CATARRHAL INFLAMMATION. 385 to the catarrhal inflammation. This is analogous to processes in other muscular structures underlying mucous membrane elsewhere in the body. Thus in the
...alimentary tract, muscular derangements are constantly found following close upon catar- rhal disease of its mucous lining; the same may be said of the bladder and of the lung. In all of these, a prominent symp- tomatic change, . Following close upon inflammation of their mucous layer, is the want of proper contractility in the sub- jacent muscular structures. It would, therefore, seem much simpler to account for the symptoms of muscular derangement in the middle ear, afl:ected by chronic catarrh, in the same way as muscular alterations occurring in a chronically inflamed bronchus are explained.

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