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March 1953


AMA Arch Otolaryngol. 1953;57(3):310-327. doi:10.1001/archotol.1953.00710030330006

THE OBJECT of this paper is not to bring forth a new therapy for external otitis but, rather, to present some personal observations and ideas concerning one of the otologist's most challenging problems. There have been far too much stress on therapy and far too little thought given to the etiology and the clinical picture. In our haste to find a cure we have neglected the basic principles we learned in general medicine, the principles of presenting the definition and the clinical picture of the disease in question. It is customary to include in these principles the etiology, the pathogenesis, and, finally, the treatment. The greater the clinical knowledge of the objective appearance of a disease, the greater the opportunity to discover its etiology and pathogenesis. With this basic knowledge, then, treatment can be directed in various ways.

  1. When possible, we try to remove or neutralize the etiological factors—a

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