Seventeen or more years ago, when the nasal douche was in the hands of nearly every one under treatment for catarrh, inflammations of the middle ear from the unskilled use of said douche were frequently met with. Now again, since such great advancement has been made in the line of nasal surgery, we see these inflammations quite often. Many of them have fallen under my care of late, some of which are briefly reported as follows:
Case 1.—Suppurative otitis media, with total loss of the left memb. tymp., from the use of finely powdered acetate of lead in epistaxis.
This occurred in a young man aged twenty-three years, eight months before he consulted me. He stated that everything had failed to arrest the bleeding until his physician applied the lead, which had the desired effect very quickly, but that it started a violent pain in a few hours, which