John E. Bordley, MD, Baltimore: After the session this morning, it would seem the time is right to look from the general to the particular. Dr. Nager quoted figures this morning that neuromas of the eighth nerve represent approximately 10% of all brain tumors. These tumors, in the main, first present themselves to the otologist perhaps through the generalist as Dr. Bucy has suggested, but certainly, the next stop and probably the most important stop is with the otologist.
Dr. Valvassori expressed very well this morning the position of the otologist when he stated his experience of the past few years has proven that the number of acoustic tumors found is in direct relationship to the index of suspicion by otologists.
The time is past when otologists can swell with pride because they have suspected an eighth nerve tumor in a patient who comes in totally deaf, with a dead
Bordley JE, Bucy PC, Cawthorne T, et al. Early Diagnosis of Acoustic Neuromas. Arch Otolaryngol. 1969;89(2):302–310. doi:10.1001/archotol.1969.00770020304014
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.