Reviewing casually my practice for the past thirty years, I am struck with the fact that an overwhelmingly large percentage of patients who consult an otologist do so because of impaired hearing. A small percentage seek advice for conditions in which the surgical menace has, temporarily at least, placed the consideration of the impaired function in the background. Experience taught me early that one could only hope for increasing numbers of the more stimulating surgical cases by evincing a genuine interest in the more drab conditions, in which patients sought improvement for their impaired hearing.
Patients with impaired hearing—leaving out the suppurative cases—must be segregated into different classes; they could not all be subjected to the same treatment with any hope of even partial improvement. In a general way, these subjects could be divided into those in whom the impaired hearing was due to lesions of the conducting
DUEL AB. LOCAL TREATMENT OF THE EUSTACHIAN TUBEWITH SPECIAL REFERENCE TO THE PRESENT STATUS OF THE BOUGIE. Arch Otolaryngol. 1926;4(3):196–200. doi:10.1001/archotol.1926.00590010214002