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December 1965

Functional Mechanism of the Labyrinthine Epithelium: II. Author's Theory

Author Affiliations


Arch Otolaryngol. 1965;82(6):579-590. doi:10.1001/archotol.1965.00760010581005

WHEN in 1923 I started as chief of the Municipal Otological Department of Copenhagen, "otolith cases" were the fashion of the day. We, therefore, examined scrupulously all sort of cases of ear diseases and found an abundance of patients with vestibular symptoms depending upon posture, with and without prior operation, mostly constituting what we nowadays regard as collateral edema of the labyrinth. We also found cases of suddenly changing hearing, generally combined with vestibular symptoms, ie, what we now term Meniere's disease, the clinical picture of which was not at all clear at that time. We designated such cases "hypertensio auris internae intermittens."

This resulted in the idea of pressure and variations of pressure as the decisive factor in stimulation of the vestibular as well as of the acoustic part of the labyrinth. I, therefore, already before the breakdown of the Magnus-de Kleyn system realized its insufficiency. To find my

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