The case reported is of particular interest because of its slow development over a period of six years, only one ear being involved at first. An unusual opportunity was provided for observing the functional disturbance and for checking up at autopsy.
REPORT OF CASE
History.—The patient consulted me for the first time in April, 1919. She was then 54 years of age and complained of a high pitched tinnitus in the left ear which had persisted for six months. She was not aware of any defect in hearing and complained of no discomfort or annoyance except tinnitus. She came with letters from Dr. Coakley of New York under whose care she had been two years before when she suffered from an obstruction in the left naris; at that time, Dr. Coakley had removed a growth from the nose which, according to the laboratory report, was an epithelioma.