"It is important to remember that pathology in the nose and nasal sinuses (the middle ear being one) is the cause underlying large numbers of deafened ears, be the deafness incipient, intermittent, permanent or progressive."1 Literature contains many theories as to the causation of chronic types of hearing impairment. Many authors have stated definitely, or implied in their teachings, that nasal obstruction is a causative or at least a contributory factor in certain types of hearing deficiency. The relief of nasal obstruction by submucous resection or by other means is recommended by some otologists as one of the therapeutic measures in the treatment for chronic nonsuppurative otitis media. The purpose of this paper is to review the literature pertaining to nasal obstruction with regard to the relation of this condition to impairment of hearing; to determine, by presenting a series of cases, whether there is a characteristic impairment of hearing
JOHNSON MR. NASAL OBSTRUCTION AND IMPAIRMENT OF HEARING: REPORT OF FORTY-SIX CASES OF SUBMUCOUS RESECTION WITH AUDIOMETRIC STUDIES. Arch Otolaryngol. 1941;33(4):536–549. doi:10.1001/archotol.1941.00660030544003
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