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July 1973


Author Affiliations

55 E Washington St Chicago, IL 60602

Arch Otolaryngol. 1973;98(1):72. doi:10.1001/archotol.1973.00780020076023

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Reply to Dr. Gould

The following comments are pertinent:

  1. We have always been very careful in avoiding the association between an obliterated vestibular aqueduct and Meniere disease.

  2. The portion of the vestibular aqueduct visualized tomographically extends from the outer opening to the isthmus. The proximal portion of the aqueduct is often not seen not only because of its fine diameter but also because it is obscured by the superimposed radiolucency of the common crus. If Dr. Gould had read Drs. Yuen and Schuknecht's paper carefully he would have noticed that the measurements reported by the authors refer only to the isthmus of the aqueduct. The dimensions of the aqueduct vary progressively, increasing in size from the isthmus to the external aperture.

  3. We appreciate the comment of Dr. Gould regarding our imagination. Without it progress is impossible. However, in this specific problem, little imagination is needed to conclude that a significant difference

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