THE PREVENTION of deafness should be a constant and major objective in otology, both before any sign of trouble is evident and after poor hearing has supervened. At all levels of hearing loss, prevention is of primary importance.
At first thought it would appear that there is no problem when there is no deafness. How can one prevent something which shows no sign of appearing and, by common experience, does not therefore impend? Moreover, first signs are faint, so faint that they flash no clear warning of disaster. They may arise from many widely separated parts of the body and from many different causes, any one of which may not and generally does not cause any deafness whatsoever. Nevertheless, the sure way is to take preventive measures early and, when possible, before any signs of deafness appear. This is the challenge, and slowly but surely medical knowledge and skill have
FOWLER EP. PREVENTION OF DEAFNESS. Arch Otolaryngol. 1950;51(1):42–48. doi:10.1001/archotol.1950.00700020061003
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