Atrophic Meatus

Sensitive or itching ears as the patient commonly describes it, is a

very common disease caused by any atrophic condition of the membranes

of the auditory meati and frequently found in common with auditory or

other cranial nerve deficiency or degeneration. The direct cause of the

irritation is the collection of particles of dry cerumen.

=Treatment.=—The local treatment consists of syringing with warm

(118° to 120°F) soap solution until all of the scaly cerumen has been

removed. The canal is then dried and lubricated as described above.

Several such treatments may be required after which I prefer the use

of the continuous irrigating ear cup, using salt mixture instead of

the soap. The same salt mixture as is recommended for nose and throat

irrigation is satisfactory. After such irrigations the application of

phenol-glycerine (10% phenol in glycerine) seems to be an efficient

treatment.

The local treatment must, of course, be accompanied by corrective

treatment to the mandible and upper cervicals.

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