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Article
December 9, 1905

CAPITAL OPERATIONS FOR THE CURE OF TINNITUS AURIUM.

JAMA. 1905;XLV(24):1787-1792. doi:10.1001/jama.1905.52510240019001h
Abstract

I collected the material for this paper during my preparations for an excision of the auditory nerve in a case of grave tinnitus aurium, with suicidal tendencies. Several weeks were consumed in work on the cadaver and in designing special instruments. During this time my patient improved so much under enforced hygiene a capital operation no longer appeared justifiable.

Patient.  —The patient was a psychopathic, neurasthenic man of 40, in fair physical condition and nutrition.

History.  —He smoked to excess and had a questionable specific history. He complained of tinnitus on the left side, of inability to conduct his business, of disappointed ambitions, and of loss of sleep. Beginning in his fourth year, the left ear had continued to discharge until he was 26 years old. Some loss of hearing followed early, but a considerable part of the hearing was later lost suddenly. When he was 28 years old, the

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