Diseases of the Ear, Nose, and Throat in Children by T. G. Wilson

By T. G. Wilson

Ailments of the Ear, nostril, and Throat in teenagers, moment version makes a speciality of the otolaryngological difficulties of adolescence. This version discusses the congenital abnormalities of the ear, listening to try in infancy and early life, and cholesteatosis of the center ear. The osteomyelitis of the maxilla in infancy, speech defects, branchial cysts, neonatal asphyxia, and illnesses of the thymus gland also are thought of. different issues comprise the congenital abnormalities of the nostril and face, inflammatory ailments of the tonsils, tuberculosis of the larynx, and symptoms for elimination of the adenoids. This booklet is appropriate for pediatricians and clinicians attracted to the illnesses of the ear, nostril, and throat in young children.

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Should the gravity of the child's condition persist in spite of repeated " positive " myringotomies, mastoidectomy must be considered. A firm diagnosis of mastoiditis is most difficult to make, for these cases do not usually develop obvious signs such as retro-auricular oedema. Miss Hall's ( 1 9 4 8 ) indications are :— (1) Persistent pyrexia. (2) Persistent or increasing diarrhoea. Diarrhoea is a more reliable indication than vomiting. (3) Sudden or recurrent dehydration. (4) Persistent failure to improve without dramatic collapses.

Should the gravity of the child's condition persist in spite of repeated " positive " myringotomies, mastoidectomy must be considered. A firm diagnosis of mastoiditis is most difficult to make, for these cases do not usually develop obvious signs such as retro-auricular oedema. Miss Hall's ( 1 9 4 8 ) indications are :— (1) Persistent pyrexia. (2) Persistent or increasing diarrhoea. Diarrhoea is a more reliable indication than vomiting. (3) Sudden or recurrent dehydration. (4) Persistent failure to improve without dramatic collapses.

The infantile temporal bone and its constituent parts. A , the petromastoid, B , the squamous, C, the tympanic ring, and D, the whole temporal bone. ossified from four c e n t r e s i n t h e cartilaginous capsule of t h e e a r w h i c h a p p e a r in t h e f o u r t h o r fifth m o n t h of d e v e l o p m e n t . T h e y a r e t h e pro-otic, w h i c h occurs i n t h e region of t h e a r c u a t e e m i n e n c e , a n d a c c o u n t s for p a r t of t h e cochlea, t h e vestibule, t h e superior semicircular c a n a l a n d t h e m e d i a l wall of t h e t y m p a n i c c a v i t y ; t h e o p i s t h o t i c , which forms t h e floor of t h e t y m p a n i c c a v i t y , t h e c a r o t i d canal, a n d t h e lower a n d l a t e r a l p a r t s of t h e cochlea ; t h e p t e r o t i c , w h i c h forms t h e roof of t h e t y m p a n u m ; a n d finally t h e epiotic, w h i c h forms t h e posterior semicircular c a n a l a n d t h e m a s t o i d process.

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