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One of the enigmas in otolaryngology is how a small epidermal inclusion cyst in the middle ear or mastoid can create such a giant problem in management. Another enigma is how a relatively small place like Iowa City can produce such a giant clinical and academic program. The list of outstanding clinicians, academicians, and researchers who passed through this outstanding program reads like a Who's Who of Otolaryngology. Much of the credit for this must go to the organizational genius of the late Dean Lierle who not only shaped the program at the University of Iowa, but also assisted in charting the course of otolaryngology from its nadir in the early 1950s to its position of prominence today.
That Iowa City could host the First International Conference of Cholesteatoma is a tribute to Lierle and his able successor, Brian McCabe. Assisting Dr McCabe in organizing this conference were his former
Cantrell RW. Cholesteatoma. JAMA. 1977;238(19):2074. doi:10.1001/jama.1977.03280200086035
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