A Handbook of Health

by Woods Hutchinson

A cross-section diagram from the outer ear to the lobes of the brain.

When the sound waves go into the ear canal and strike upon this tiny drum, which is about two-thirds the size of a silver dime and really more like a tambourine or the disk of a telephone or phonograph than a drum, they start it thrilling, or vibrating, just as a guitar string vibrates when you thrum it. These little vibrations are carried across the hollow behind the drum by a chain of tiny bones, known as the ear-bones (called from their shapes, the hammer, the anvil, and the stirrup), and passed on to the keyboard of the cochlea.

Here comes in one of the most curious things about this ingenious hearing-apparatus. This little hollow behind the drum-skin has to be kept full of air in order to let the drum vibrate properly, and this is arranged for by a little tube (the Eustachian tube) which runs down from the bottom of it and opens into the back of the throat just behind the nasal passages, and above the soft palate. When you blow your nose very hard, you will sometimes feel one of your ears go "pop"; and that means that you have blown a bubble of air out through this tube into your drum cavity.

If your nose and throat become inflamed, then the mouth of this little tube may become blocked up; the drum can no longer thrill, or vibrate, properly; and, for the time being, you are deaf. This tube is of great importance, because nearly all the diseases that attack the ear start in at the throat and travel up the tube until they reach the drum cavity. This is why one so often has earache after an attack of the grip or after a bad cold. The drum cavity, with its chain of bones and its tube down to the throat, is called, from its position, the middle ear.

The outer, or external, ear, though far the largest of the three parts, and quite imposing in appearance, is really of little use or importance. It is simply a sort of receiving trumpet for catching sounds, with a very wide and curiously curved and crumpled mouth, or bell. The large, expanded mouth of the trumpet, called the concha ("conch shell"), was at one time capable of being "pricked up" and turned in the direction of sounds, just as horses' or dogs' ears are now; and in our own ears there are still for this purpose three pairs of tiny unused muscles running from them to the side of the head. But the concha is now motionless and almost useless, except for its beauty; and it is very troublesome to wash.

The Care of the Ear. The tube of the trumpet leading down from the surface of the ear to the drum is lined with skin; and this skin is supplied with glands, which pour out a sticky, yellowish fluid called ear wax, which catches the bits of dust or insects that get into the ear and, flowing slowly outward, carries them with it. If it is let alone, it will keep the ear canal clean and healthy; but some people imagine that, because it looks yellowish, it must be dirt; and consequently, from mistaken ideas of cleanliness, they work at it with the end of the finger, the corner of a towel, or even with a hairpin, an ear-spoon, or an ear-pick, and in this way stop the proper flow of the wax and make it dry and block up the ear.

Remember, you should not wash too deeply into your ears; (as the old German proverb puts it, "Never pick your ear with anything smaller than your elbow"). And if you don't, you will seldom have trouble with wax in the ear. Scarcely one case of deafness in a hundred is caused by wax. When your ear does become blocked up with wax, it is best to go to a doctor and let him syringe it out. Picking at it, or even syringing too hard, may do serious damage to the ear.

If an earache is neglected, the inflammation may spread into some air-cells in the bony lump behind the ear (the mastoid) and thus cause mastoid disease, which may spread to, and attack, the brain if not cured by a surgical operation.

OUR SPIRIT-LEVELS

The Sixth Sense. Though we usually speak of having five senses,—sight, smell, hearing, touch, and taste,—we really have also a sixth—the sense of direction, or of balance. The "machine" of this sense is comparatively simple, being made up of three tiny curved tubes, which, from their shape, are called the semi-circular canals. These are buried in the same bone of the skull as the internal ear, and so close to it that they were at one time described as part of it. These little canals are three in number, one for each of the dimensions—length, breadth, and thickness,—so that whichever way the head or body is moved,—backward and forward, up and down, or from side to side,—the fluid with which they are filled will change its level in one of them, just as the "bead" does in the carpenter's spirit-level that you can find in any tool shop. The delicate nerve twigs that run out into the fluid in these tiny canals are gathered together into a bundle, or nerve-cable, which runs back to the part of the brain known as the cerebellum or hind-brain, which has most to do with controlling the balance and movements of our bodies.