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Article
September 1937

CRITIQUE OF THE PRESENT TREATMENT OF DEAFNESS DUE TO LESIONS IN THE CONDUCTION MECHANISM

Arch Otolaryngol. 1937;26(3):259-269. doi:10.1001/archotol.1937.00650020287001
Abstract

There is perhaps no more discouraging condition with which otologists have to deal than progressive deafness due to lesions of the sound-conducting mechanism. We are concerned here not with the disturbance in hearing which is present when the ears are discharging or with otosclerosis but rather with that large group of conditions which have hitherto been classified on some bizzarre basis as catarrhal.

PATHOLOGIC CHANGES IN ACUTE INFECTION OF THE MIDDLE EAR  Before we discuss the value of therapy for acute infection of the middle ear, it might be advisable to present the pathologic changes which occur in inflamed or infected ears. First, it seems to us that there is no essential difference between so-called acute catarrhal otitis, suppurative otitis and the fibrous adhesive state. The last-mentioned condition we regard as the end-result or the terminal stage of preexisting inflammation.While it is well known that fibrosis may follow an

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