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The theme of labyrinthian deafness is one of very great interest, because it is so often incurable, and is generally secondary to, or the sequel of many affections; and to cure the disease, the ailment on which it depends must be cured, the pathological lesions removed, before irreparable structural changes have taken place in the inner ear. The premises will be made in this paper that internal ear disease is dependent more often on middle ear disease, and the latter, most frequently dependent on chronic nasopharyngeal catarrh, for the predisposing cause, and acute congestion or acute inflammation of the upper respiratory tract and aural apparatus, for the exciting cause; making due allowance, of course, for other etiological factors. Experience and observation teach the writer that doubtless chronic nasopharyngeal catarrh is present in the majority of such cases; is the most frequent of all other causes; and, if the previous history
CARPENTER JG. INTERNAL EAR DEAFNESS, ILLUSTRATED. JAMA. 1889;XIII(26):916–919. doi:10.1001/jama.1889.04440080014004
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