Vicious Circles in Disease

Cover Vicious Circles in Disease
Vicious Circles in Disease
Jamieson B Jamieson Boyd Hurry
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During health the movements of the cilia are directed to- wards the pharynx and assist in clearing the tympanum of epithelial or other detritus. Retained pus, however, destroys this epithelium and abolishes the scavenging mechanism. Retention leads to retention.
A similar sequence may involve the accessory cavities of the tympanum, viz. The antrum and mastoid cells. Indeed the conformation of the temporal bone, with its warm and moist cavities and the awkwardly situated efferent ducts, greatly
...favours the imprisonment and putrefaction of inflam- matory and other debris, the narrow communicating channels being readily obstructed and blocked.
Chronic catarrhal otitis associated with Eustachian obstruction is often complicated by rarefaction of the air in the tympanic cavity due to a process of absorption. The result is that the drum mem- brane is gradually stretched and eventually conies to lie against the internal wall of the tympanum, thus maintaining the otitis.
Bench writes : " A gradual stretching of the drum membrane takes place from the continued pressure from with- out, until finally further displacement is prevented by contact with the internal tympanic wall.


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