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June 1959

A New Diagnostic Sign of Otosclerosis

Author Affiliations

New York
From the Department of Hearing and Speech, Manhattan Eye and Ear Hospital.

AMA Arch Otolaryngol. 1959;69(6):712-713. doi:10.1001/archotol.1959.00730030726008

Diagnosis of disease today is often dependent on helpful laboratory data, and this is proper since it is quite reasonable that one should utilize all the diagnostic assistance that is available. However, it is always a challenge to seek the answer to a patient's problem after a history and clinical examination and later confirm it with more specific studies.

In limiting this discussion to the diagnosis of otosclerosis, of course it becomes very academic since the otologist today has many valuable aids which he uses to determine not only the diagnosis but the exact stage of the disease process and the amount of cochlea degeneration. However, one can diagnose otosclerosis in many instances on history alone, without using audiometric or tuning fork studies; but before going into this aspect of the discussion, a brief review of our accepted testing technique is in order.

After establishing that the tympanic membranes are

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