Hill37 attempts to evaluate the various forms of therapy for defective hearing. A careful study of the patient to determine etiologic factors and a thorough appraisal of the hearing function will suggest more definite application or limitation of treatment, depending on age and mental or economic status. The author discusses various forms of treatment employed, such as local therapy, irradiation, administration of vitamins, the fenestration operation and employment of hearing aids. Hill feels that radiation therapy should be reserved for those patients whose defect defies the more orthodox procedure of a carefully performed adenoidectomy, and that its employment should be restricted to physicians having both the equipment for adequate dosage and the experience to govern its use. The fenestration operation is still the subject of much controversy. When the extent of the pathologic process cannot be ascertained and the question of further extension of the process cannot be
LEWY A, LESHIN N. FUNCTIONAL EXAMINATION OF HEARING. Arch Otolaryngol. 1943;37(2):242–262. doi:10.1001/archotol.1943.00670030251009
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