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Article
February 1945

CHRONIC PROGRESSIVE DEAFNESS, INCLUDING OTOSCLEROSIS AND DISEASES OF THE INNER EAR

Arch Otolaryngol. 1945;41(2):147-154. doi:10.1001/archotol.1945.00680030172009
Abstract

The literature for 1943 on chronic progressive deafness is noteworthy for the continued interest in Ménière's disease and for articles by Day and Goodyear presenting a new surgical treatment for this condition. The literature is reviewed in the following order:

  • Otosclerosis:

    • Pathology and Etiology

    • Medical Treatment of Otosclerosis

    • Surgical Treatment of Otosclerosis

  • Chronic Adhesive Deafness

  • Primary Nerve Deafness

    • Nerve Deafness from Acoustic Trauma

    • Nerve Deafness from Miscellaneous Causes

    • Nerve Deafness from Drugs

    • Treatment of Nerve Deafness

    • Ménière's Disease

OTOSCLEROSIS  Pathology and Etiology.—Spira1 suggests that otosclerosis may be the result of fluorosis, which interferes with the function of the parathyroid glands. The facts that a disturbance of labyrinthine equilibrium occurs in parathyroidectomized rats, that the incidence of otosclerosis and that of fluorosis are both high in England and that some investigators have found serum calcium lowered in 84 per cent of patients with otosclerosis are adduced as evidence in favor of his hypothesis. (Comment: A novel theory, based

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