The title of this paper suggests that diseases of the nose and throat may cause, or at least may perpetuate when once begun, diseases of the ear. I believe no qualified aurist to-day questions the statement that pathologic states of the upper air tract exert a continued evil influence on the ear; and since the amount of benefit to hearing which may be derived from treatment of the nose and throat will depend largely on how much harm to the ear a given nasal or throat affection may have, or is continuing to exert, on the aural function, it will be necessary at the outset to discuss briefly two points, namely: (1) the dependence of normal aural function on a perfectly normal state of the nose and nasopharynx: (2) the determination of the manner in which a diseased aural environment may affect the middle ear; for, with the physiologic and
BARNHILL JF. WHAT IMPROVEMENT CAN RATIONALLY BE EXPECTED FROM TREATMENT OF THE NOSE AND THROAT IN MIDDLE-EAR DEAFNESS? JAMA. 1911;LVII(7):553–556. doi:10.1001/jama.1911.04260080117009
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