Tympanic membrane retraction become eroded. As skin cells die they form a barrier of dry protein called keratin. This layer of keratin is normally pushed out of the ear by migration of skin cells along the ear canal and is turned into wax. Clearance of keratin can be disrupted by tympanic membrane retraction so that keratin accumulates within the retraction pocket. When keratin becomes trapped deep inside the ear and cannot be cleaned out, it is known as cholesteatoma. Growth of bacteria in the trapped keratin causes smelly discharge from the ear and can spread to cause serious infection. Various strategies may be
What Is the Third Estate? What Is the Third Estate? What Is the Third Estate? () is a political pamphlet written in January 1789, shortly before the outbreak of the French Revolution, by the French thinker and clergyman Abbé Emmanuel Joseph Sieyès (1748–1836). The pamphlet was Sieyès' response to finance minister Jacques Necker's invitation for writers to state how they thought the Estates-General should be organized. In the pamphlet, Sieyès argues that the third estate – the common people of France – constituted a complete nation within itself and had no need of the "dead weight" of the two other orders, the first and second