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October 1973


Author Affiliations

University of North Carolina at Chapel Hill

Arch Otolaryngol. 1973;98(4):291. doi:10.1001/archotol.1973.00780020301016

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To the Editor.— Did you really publish the article1 which appeared on page 482 of the June 1973 issue of the Archives or was I hopefully having optical hallucinations? To suggest that we put a patient through the time and expense of a lateral soft tissue x-ray as a substitute for a routine physical examination advocates, in my opinion, total abdication of responsibility on the part of the initial examining physician. We in otolaryngology obviously have fallen down in our jobs a little if our colleagues in primary care areas are ordering x-rays rather than using a head mirror and a laryngeal mirror to examine the base of the tongue. I can only deplore the implications in this article which suggests that radiographic examination might in any way substitute for what should be routine physical diagnostic procedures. My only hope is that the initial examining physician in this

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