Having spent almost four decades in the practice of otolaryngology, I feel that I am in a position to scrutinize and perhaps criticize, from experience, some otolaryngological tendencies. A graph of these tendencies for the past 40 years would be revealing. Valuable innovations are introduced and accepted with an enthusiasm in excess of their value. Disappointments follow, and then the value of the procedure or modality is underrated. Finally a true evaluation prevails and a middle-of-the-road attitude is established.
While notable achievements have been made in otolaryngology, the specialty owes much to the discoveries and advances in general medicine. The modern trends in otolaryngology have been much influenced by these discoveries. For example, nothing has altered the diagnosis, treatment and prognosis in otolaryngological infections as has the introduction of antibiotics. Mastoiditis has become so rare that teaching institutions are finding it increasingly difficult to get sufficient material to adequately train
JOHNSTON WH. MODERN TRENDS OF SURGERY AND TREATMENT IN OTOLARYNGOLOGY: Chairman's Address. JAMA. 1950;144(12):977–978. doi:10.1001/jama.1950.02920120001001
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