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The present tendency to eliminate specialists is well shown by the author in his preface when he says: "During the past few years the boundary lines of the territory which was formerly supposed to belong to the aural surgeon have been very materially extended. At first the larger part of the domain of rhinology was annexed, the legitimate right of such a transfer being recognized by all candid minds. Then later when it was discovered that many of the intracranial diseases of otitic origin previously looked upon as almost necessarily fatal were to a large extent curable, aural surgeons were obliged to decide promptly whether they should leave this new work entirely to the general surgeon or should assume all its grave responsibility themselves. The great majority of them accepted the trust without any hesitation, and the numerous reports of successful operations that have been published by them in recent
A Treatise of Diseases of the Ear, Together with a Brief Sketch of the Anatomy and Physiology of This Organ. JAMA. 1898;XXXI(19):1126. doi:10.1001/jama.1898.02450190052021
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