Frank and open criticism of any new form of therapy is not only desirable but necessary before an evaluation of the therapy can be arrived at by members of the medical profession. For this reason physicians who treat otosclerosis surgically were particularly interested in the recent article by L. K. and P. Guggenheim1 entitled "Artificial Fistula in Cases of Otosclerosis." Unfortunately, the authors' only experience with this kind of surgery was the observation of a single case in which an unsuccessful operation was performed by some one else plus some experiments on the regeneration of bone in the rabbit's skull (not on the labyrinthine capsule). As a consequence of their restricted experience, the authors were led to make certain statements which should not be allowed to go uncorrected.
The authors stated:
The treatment of otosclerosis by means of (1) reversal of halisteresis and (2) regeneration of the damaged neural mechanism
SHAMBAUGH GE. OPERATIVE TREATMENT OF OTOSCLEROSIS: REPLY TO A RECENT CRITICISM. Arch Otolaryngol. 1940;32(5):927–933. doi:10.1001/archotol.1940.00660020934009
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: