ILEMATOMA. 65 



to and the subsequent hc-emorrhage checked by the appU- 

 cation of astringents and pressure. Subsequent treatment 

 must be left to the discretion of the operator, as frequently 

 these growths are very troublesome and reappear larger than 

 before after a short period of time. 



Fig. 39. 



Kramer's speculum. 



Operations for Haematoma or Tumefied Flap, — This con- 

 dition is sometimes spoken of as serous cyst, abscess, or blood 

 tumour, of the ear. 



A common method of treatment consists in merely lancing 

 the under surface of the ear-flap, carefully pressing out its con- 

 tents, and treating the wound antisepticall}'. Some practitioners 



Fn;. 40. 

 Avery's speculum. 



afterwards insert a plug of cotton-wool or tow, in order to 

 prevent too rapid healing by keeping the edges of the wound 

 apart, or inject concentrated solutions of iodine. 



Another method consists in inserting a seton tape through 

 the swollen under part, and so endeavouring to keep up a 

 continual drainage until all the fluid has escaped, and a certain 



