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nearly tlie entire cavity ; sometimes they connect the inner
surface of the membrana tympani to the internal wall of the
tympanum and the sheath of the tensor tympani muscle. The
place where these bands and adhesions are more frequently
found by post mortem examinations is between the crura of the
stapes and the adjoining walls of the tympanic cavity ; at least,
this was the case in twenty-four instances out of one hundred
and twenty dissections. These bands of adhesion sometimes
are found to contain extravasatcd blood, or scrofulous matter.
In the third stage of inflammation of the ear membrane, it
becomes ulcerated ; the membrana tympani is then destroyed,
and the tensor tympani muscle is atrophied, (wasted.) The
ossicula auditus become diseased, and are ultimately discharged
from the ear; the disease often extending itself, now to the
tympanic walls, and then affecting also the brain and other im-
portant organs.
Dr. Kramer, of Berlin, says, in regard to the " appearance "
of the membrana tympani in health and in disease, that, " by the
most careful ocular inspection of well nigh four thousand cases
of ear diseases, which was repeated on some of these many times,
I have arrived at the most undoubting conviction, that the
' healthy' membrana tympani is entirely colorless, shining, and
diaphanous, having a well-marked concavity externally; and
that, under the influence of the inflation of the tympanum, while
the mouth and nostrils are closed, it is raised only into two
round, longish swellings near the malleus, whence we may con-
clude that it is in a state of expansion.
" The ' diseased' membrane, on the other hand, I have always
found either inflamed, and then red as a lobster, or reddened,
thickened, degenerated, swollen, or indurated; or, the inflam-
mation having ceased, some of the numerous consequent changes
of organization have been detectable; all these cases likewise
excluding the idea of relaxation from or after inflammation, as
its sequel." Dr. Kramer, it appears, arrives at the following
conclusions: —
1. "The magneto-electric or electro-magnetic currents act
decidedly as an excitant on the organ of hearing.