Ten years have passed since the end of World War II, ten years since the first largescale clinical utilization of penicillin. Fundamental changes in otolaryngology occurred in this decade, changes which seemed menacing to the very existence of otology and which, therefore, lead some otological Cassandras to speak of the "dying profession." More recently the prophets of doom have fewer and fewer followers. On the contrary, a more optimistic outlook seems to prevail. Increasing interest in and enhanced therapeutic activity against hearing losses due to conduction-type defects have become evident. New surgical methods are being developed and new diagnostic criteria are being designed for the purpose of properly selecting and assaying the tympanic pathology.
In the past, the treatment of conduction lesions after the inflammatory phase had burned out was neglected by otologists. Scarification and adhesions in the middle ear appeared to be unalterable, unassailable, and even unpreventible. The interest
KOBRAK HG. Pathology and Audiology of Middle-Ear Lesions. AMA Arch Otolaryngol. 1956;63(2):177–182. doi:10.1001/archotol.1956.03830080063012
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