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Title: Tuberculosis of the middle ear in children, with special reference to its occurrence as a primary lesion
Author: Mathews, Paul
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 1906
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There are numerous considerations which combine to render Tuberculosis of the Middle Ear and Temporal bone a subject of great interest and importance both clinically and pathologically. The number and variety of the channels through which infection may take place, the frequency of the condition, its occurrence during infancy, the gravity of the condition and of its possible complications, the multiplicity of its symptoms and signs, the urgent need for drastic treatment, the possibility of absolute diagnosis and of ultimate cure are the most important of these considerations. Important as the subject undoubtedly is, it is only recently that much attention has been paid to it, and even now its frequency and gravity are not duly appreciated, nor are its signs and symptoms sufficiently detailed in the current text books. Indeed many of them (even of those dealing exclusively with Diseases of the ear) pass it by altogether or treat it with a brevity which it ill deserves. Before discussing the question in detail it is desirable that it should be understood that in the following paper the term 'middle ear' will be held to include not only the cavum tympani, but also the Eustachian Tube and Mastoid Antrum. This is fully warranted by the anatomy and the developmental*histçr of these cavities as has been recently demonstrated by Young and Milligan.'* Owing to the difficulties in determining the primary site of the tuberculous process in these parts it is convenient to consider tuberculosis of the middle ear together with tuberculosis of the temporal bone; for it is rare that cases of the former come under cur notice before there is some involvement of the bone and still less frequently do we encounter tuberculous caries of the temporal bone before some part of the middle ear is involved, except in cases where a temporal caries, unsuspected during life, is revealed on the post mortem table. That the two conditions can and do arise separately scarcely permits of doubt, but it is inconvenient for purposes of practical diagnosis and treatment to dissociate the two conditions.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available