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July 1971


Author Affiliations

Department of Otolaryngology Cleveland Clinic Cleveland 44106

Arch Otolaryngol. 1971;94(1):89. doi:10.1001/archotol.1971.00770070125019

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I welcome Dr. Rosenberg's constructive comments about this paper, and thoroughly appreciate the usefulness of his modification of the tone-decay test as a time saver. It certainly gives valuable information about threshold tone decay. If, however, the presence of tone decay is of specific interest in a given patient, I feel that the unabridged Carhart technique does give more information. In our own experience, the type of patient demonstrated in Fig 8 is not quite so rare as Dr. Rosenberg would seem to indicate.

The second comment is well taken and I thoroughly agree with it. I did not mean to imply in the paper that small amounts of tone decay were indicative of sensory disease. In fact, in the last paragraph in the paper, I tried to convey exactly the opposite thought. Possibly, I could have been more clear in the wording. If I have misrepresented Dr. Rosenberg

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