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February 1955

CHRONIC PROGRESSIVE DEAFNESS, INCLUDING OTOSCLEROSIS AND DISEASES OF THE INNER EAR: Summaries of the Bibliographic Material Available in the Field of Otolaryngology for 1951

Author Affiliations

Chicago; Louisville; Chicago

AMA Arch Otolaryngol. 1955;61(2):244-258. doi:10.1001/archotol.1955.00720020258018

THE LITERATURE on chronic progressive deafness in 1951 is still dominated by otosclerosis and its surgical treatment. Ménière's disease continues to be of topical interest. There are also many excellent contributions on the cause and treatment of deafness which warrant review.

OTOSCLEROSIS  Fowler1 believes that the immediate underlying cause of otosclerosis and any neural deafness incidental to it is caused by autonomic dysfunction, stasis, anoxia, etc. For the past three years he has examined the circulation in the arterioles and venules in the ocular conjunctiva of all his patients and thus far, without exception, has noted a sludging of the blood and certain other vascular phenomena in every patient with deafness from otosclerosis. Patients with otosclerosis seem to be more hypersensitive and emotionally disturbed than people with nerve deafness. The autonomic reactions resulting from such emotional factors may be of basic significance.Nager and Ruedi2 report on the