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November 18, 1893

THE RELIEF OF CHRONIC DEAFNESS, TINNITUS AURIUM AND TYMPANIC VERTIGO, BY REMOVAL OF THE INCUS AND STAPES.Read in the Section on Laryngology and Otology at the Forty-fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(21):760-763. doi:10.1001/jama.1893.02420730010002a

There are numerous cases of chronic catarrhal otitis media with the characteristic tinnitus, deafness, and tympanic vertigo, which continue to suffer even after the nares, naso-pharynx, and fauces are restored to health. Therefore, after the restoration of the nose, naso-pharynx, Eustachian tube, and throat to a normal condition, the aural symptoms being little or no better, the aurist is confronted with the very important question as to what shall be done to improve the hearing, reduce the tinnitus and abolish the vertiginous tendency. Many surgical methods of treating the ear at this point of its history have been suggested and put into operation, chiefly for the relief of one prominent symptom, namely, deafness. These operations have ranged from simple puncture to total excision of the tympanic membrane, and the removal of one or more of the ossicula. Sometimes, however, patients complain more bitterly of the noises in their ears and