Archives of Otolaryngology

WHITCOMB, C. A.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040010001

Abstract Sarcoma of the tonsil is not a common tumor. The incidence is well illustrated by reports from the Memorial Hospital1 and the Mayo Clinic2 which show, respectively, 22 and 55 cases of lymphosarcoma during a period of five years. No case of reticulum cell sarcoma is mentioned in these reports. The family physician, whom the patient consults first, will encounter, therefore, few cases during his professional life, and even the otolaryngologist attending a general hospital clinic will probably not see this tumor frequently enough to become familiar by personal experience with the appearance and behavior of sarcoma of the tonsil. Sarcoma of the tonsil should not be confused with carcinoma of the anterior faucial pillar. The commonest type of malignant growth of the region of the tonsil is squamous cell carcinoma, grade 2 or 3, involving the anterior pillar and any or all of the following adjacent structures: the gum, References 1. Martin, H. E., and Sugarbaker, E. L.: Cancer of the Tonsil , Am. J. Surg. 52:155-196, 1941.Crossref 2. New, G. B.; Broders, A. C., and Childrey, J. H.: Highly Malignant Tumors of the Pharynx and Base of the Tongue , Surg., Gynec. & Obst. 54:164-174, 1932. 3. Mallory, F. B.: Principles of Pathologic Histology , Philadelphia, W. B. Saunders Company, 1914, p. 326. 4. Ewing, J.: Neoplastic Diseases , Philadelphia, W. B. Saunders Company, 1940, p. 270. 5. Coutard, H.: Principles of X-Ray Therapy of Malignant Diseases , Lancet 2:1-8, 1934.

MCCALL, JULIUS W.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040019002

Abstract In no other organ of the body does carcinoma yield so successfully to early diagnosis and surgical treatment as in the larynx. Thomson,2 in reviewing the history of carcinoma of the larynx, said: When we recall that fifty years ago Morell MacKenzie was obliged to say that, for cancer of the larynx, "the only possible termination is death," we may rejoice in realizing to-day that with laryngofissure we can effect lasting cures in over 80 per cent of cases, that there should be no operative mortality, that surgery (laryngofissure and laryngectomy) will cure practically all cases of intrinsic cancer and that, in skilled and careful hands, they are now well-established as safe and justifiable procedures. The decision between laryngofissure and laryngectomy is not always easy, but if laryngeal surgeons would remember not to compromise with carcinoma, many more patients with cancer of the larynx would survive. Total laryngectomy does not References 1. Footnote deleted by the author. 2. Thomson, St.C.: History of Cancer of the Larynx , J. Laryng. & Otol. 54:61-87, 1939. 3. Orton, H. B.: Review of Diseases of the Larynx , Laryngoscope 50:8-163, 1940. 4. Czermak, cited by Morrison.9a 5. Störck, cited by Morrison.9a 6. Seiler, cited by Morrison.9a 7. Gottstein, cited by Morrison.9a 8. Gutzmann, H., cited by Morrison.9a 9. Morrison, W.: (a) Production of Voice and Speech Following Total Laryngectomy , Arch. Otolaryng. 14:413-431 ( (Oct.) ) 1931. 10. Morrison, W.: Physical Rehabilitation of the Laryngectomized Patient , Production of Voice and Speech Following Total Laryngectomy 34:1101-1112 ( (Dec.) ) 1941. 11. Negus, V. E.: Mechanism of the Larynx , St. Louis, C. V. Mosby Company, 1931. 12. Jackson, C.: Myasthenia Laryngis , Arch. Otolaryng. 32:434-463 ( (Sept.) ) 1940.

GRIESMAN, BRUNO L.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040026003

Abstract I have used planigraphy in the study of the physiology of the larynx during phonation. Phonation starts with breathing. Most of the laryngeal sounds for the purpose of speaking or singing are produced during expiration. Breathing during speaking differs in many ways from breathing during rest. When at rest one inhales and exhales a small amount of air, about 500 to 600 cc., but for the purpose of speaking one must inhale about 1,500 to 2,400 cc. of air or more. During rest the periods of inhalation and exhalation are equal. During speech the period of exhalation is much longer than that of inhalation. Inhalation should be rapid and noiseless. Exhalation is audible as an aspirated sound. As the inspiration becomes deeper and inaudible, the vocal cords come to lie almost flush against the lateral wall of the larynx. The chink of the glottis becomes almost the same size as References 1. Merkel, C. L.: Anatomie und Physiologie des menschlichen Stimm- und Sprach-Organs , Leipzig, A. Abel, 1863, p. 514. 2. Jackson, C.: Myasthenia Laryngis: Observations on the Larynx as an Air Column Instrument , Arch. Otolaryng. 32:434 ( (Sept.) ) 1940.Crossref 3. Pressman, J. J.: Physiology of the Vocal Cords in Phonation and Respiration , Arch. Otolaryng. 35:355 ( (March) ) 1942.Crossref

VINSON, PORTER P.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040036004

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Herniation of an abdominal organ through the diaphragm into the thorax occurs frequently, and unless physicians are aware of the significance of symptoms produced by this abnormality, the nature of the disability may not be detected. Herniation through the diaphragm into the thorax may result from congenital maldevelopment or from rupture of a normal diaphragm by external trauma. In many instances a trivial congenital defect in the diaphragm that does not cause symptoms may be increased by the thoracic action of suction and positive intraabdominal pressure so that later in life significant discomfort is produced. The purpose of this paper is not to discuss all types of diaphragmatic hernia, but to direct attention to two types in which dysphagia is often the predominating symptom. In patients with hernia of one of these types, the esophageal opening in the diaphragm is larger than normal, and a portion of the stomach, usually

TOWSON, CHARLES EMORY

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040041005

Abstract This report consists of an analysis with observations of 526 consecutive operations for acute or chronic mastoiditis which were performed in the services of otology and pediatrics in the same hospital on 466 patients from 1930 to 1939 inclusive. No attempt was made to differentiate between patients treated with sulfonamide compounds and those not so treated, although patients receiving such therapy during the last few years were included. However, the much lower average in the number of operations during the last three years than during the first seven years may be due to the general use of these drugs. There were 342 mastoidectomies on 288 patients with acute mastoiditis and 179 radical mastoidectomies on 173 patients and 5 modified radical (Heath) mastoidectomies on 5 patients with chronic mastoiditis. Thus 65 per cent of the operations were for acute mastoiditis and 35 per cent for chronic. In addition to those mentioned, References 1. Kafka, M. M.: Mortality of Mastoiditis and Cerebral Complications with Review of 3,225 Cases of Mastoiditis, with Complications , Laryngoscope 45:790 ( (Oct.) ) 1935. 2. Lacy, N. E.: Recurring Mastoiditis , Kansas City M. J. 14:18 ( (Dec.) ) 1938. 3. Tomb, E. H.: Simple Mastoidectomy: A Critical Analysis of One Hundred Consecutive Cases , Arch. Otolaryng. 31:478 ( (March) ) 1940.Crossref 4. Kreutz, G. C., and Witter, G. L.: Observations in Three Hundred Cases of Acute Mastoiditis , Ann. Otol., Rhin. & Laryng. 46:1060 ( (Dec.) ) 1937. 5. Campbell, E. H.: Association of Acute Sinusitis and Acute Otitis Media in Infants and Children , Arch. Otolaryng. 16:829 ( (Dec.) ) 1932. 6. Fowler, E. P.: Incidence of Nasal Sinusitis with Diseases of the Ear , Arch. Otolaryng. 9:159 ( (Feb.) ) 1929. 7. Scott, C. E., and Lumsden, R. B., in Discussion on Otitis Media in Early Childhood (Under Five Years) , Proc. Roy. Soc. Med. 30:1293 ( (Aug.) ) 1937. 8. Kopetzky, S. J.: Purulent Otitis Media, Sinus Thrombosis and Suppuration of the Petrous Pyramid: Acute and Chronic Cases , Arch. Otolaryng. 28:626 ( (Oct.) ) 1938. 9. Hadjopoulos, L. G., and Bell, J. W., cited by Kopetzky.8 10. Bolotow, N. A.: Radical Mastoidectomy: Its Use in Treatment of Dangerous Types of Suppuration of the Temporal Bone , Arch. Otolaryng. 29:269 ( (Feb.) ) 1939. 11. Williams, H. J.: Diagnosis and Treatment of Diseases of the Ear in Children , J. A. M. A. 113:990 ( (Sept. 9) ) 1939. 12. Veeder, B. S., in discussion on Williams.11 13. Kulkin, S.: Acute Mastoiditis from the Surgical Point of View , Arch. Otolaryng. 29:306 ( (Feb.) ) 1939. 14. Ebbs, J. H., in Discussion of Otitis Media in Early Childhood (Under Five Years) , Proc. Roy. Soc. Med. 30:1293 ( (Aug.) ) 1937. 15. Griffin, E. A., cited by Kafka.1 16. Towson, C. E.: Aural Complications of Pneumonia in Children , J. Pediat. 11:77 ( (July) ) 1937. 17. Stuart, E. A.: Acute Suppurative Otitis Media: A Review of Cases Encountered During a Five Year Period , Arch. Otolaryng. 33:734 ( (June) ) 1941. 18. Ashley, R. E.: Surgical and Nonsurgical Care of the Chronically Discharging Middle Ear , Arch. Otolaryng. 33:993 ( (June) ) 1941. 19. Kriegsman, G., cited by Kafka.1 20. Johnson, H. P.: Study of One Hundred Consecutive Mastoidectomies, Maine General Hospital: Temperature After Mastoidectomy , Arch. Otolaryng. 19:660 ( (June) ) 1934. 21. Tumarkin, A.: A Contribution to the Study of Middle Ear Suppuration with Reference to the Pathology and Treatment of Cholesteatoma , J. Laryng. & Otol. 53:685 ( (Nov.) ) 22. 737 (Dec.) 1938. 23. Lange, cited by Kopetzky.8 24. Young, G., in discussion on Hastings.26 25. Persky, A. H.: The Problem of the Radical Mastoid: A Critical Analysis of One Hundred and Fifty-One Cases , Pennsylvania M. J. 42:231 ( (Dec.) ) 1938. 26. Ruedi, L.: Zur Klinik und Therapie des Mittelohrcholesteatoms , Schweiz. med. Wchnschr. 64:411 ( (May 12) ) 1934. 27. Hastings, S., in Discussion on the Operative Treatment of Chronic Mastoid Disease , Proc. Roy. Soc. Med. 31:331 ( (Dec.) ) 1937. 28. Hastings.26 29. McKenzie.28 30. Bolotow.10 31. Maxwell and Richter.29 32. McKenzie, W.: The Results of the Conservative Radical Operation or Attico-Antrotomy in Seventy Cases , J. Laryng. & Otol. 55:75 ( (Feb.) ) 1940. 33. Maxwell, J. H., and Richter, H. J.: Radical Mastoidectomy: Its Effect on Hearing , Arch. Otolaryng. 31:426 ( (March) ) 1940. 34. White, L. E., Jr.: Radical Operation of the Mastoid , Arch. Otolaryng. 8:32 ( (July) ) 1928.

CURRIER, WILBER D.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040058006

Abstract There is much difference of opinion among otologists, and others who test hearing, concerning the relative value of soundproof or so-called quiet rooms for hearing tests. Some maintain that a soundproof room is necessary, while others go so far as to state that the sense of hearing, which normally is used in a noisy environment, should be tested in the presence of noise. A special committee of otologists, appointed in London in 1929 to study problems concerned with hearing tests, stated, after consideration of the testing environment, that it did "not recommend the use of a silent room for ordinary hearing tests, but that these tests should be carried out in a reasonably quiet room."1 This conclusion, as well as others reported by the committee, was severely criticized by Hallpike2 and others. Since 1929 advances have been made not only in the different branches of otology, including hearing and its References 1. Report of Committee for the Consideration of Hearing Tests , J. Laryng. & Otol. 48:22 ( (Jan.) ) 1933. 2. Hallpike, C. S.: Critical Review: The Hearing Tests Committee Report , J. Laryng. & Otol. 48:114 ( (Feb.) ) 1933. 3. Behnke, A. R., Jr.: Noise in Relation to Hearing and Efficiency , New York State J . Med. 40:1080 ( (July 15) ) 1940. 4. Carter, H.: A.: Decibels and Cycles , Tr. Am. Acad. Ophth. (1940) 45:21 ( (May) -June) 1941. 5. Dennis, E. B., Jr.: Noise: Its Measurement, Effect and Control , New York State J. Med. 30:573 ( (May 15) ) 1930. 6. Fowler, E. P., Jr.: Extraneous Factors in Quantitative Tests for Hearing , Acta oto-laryng. 28:283, 1940. 7. McCord, C. P.; Teal, E. E., and Witheridge, W. N.: Noise and Its Effect on Human Beings; Noise Control as a By-Product of Air Conditioning , J. A. M. A. 110:1553 ( (May 7) ) 1938. 8. Sabine, P. E.: Acoustics and Architecture , ed. 1, New York, McGray-Hill Book Company, 1932, p. 204 9. Watson, F. R.: Acoustics of Building , ed. 3, New York, John Wiley & Sons, Inc., 1941, p. 131. 10. Dean, S. W., and Bunch, C. C.: The Use of the Pitch Range Audiometer in Otology , Laryngoscope 29:453 ( (Aug.) ) 1919. 11. Sabine, H. J.: Portable Reverberation Meter , Electronics , (March) , 1937, p. 30. 12. Fletcher, H.: Speech and Hearing , New York, The Macmillan Coompany, 1929. 13. Fowler, E. P., Sr.: Medicine of the Ear , New York, Thos. Nelson & Sons, 1939, p. 369. 14. Newhart, H.: Progress in the Conservation of Hearing , Ann. Otol., Rhin. & Laryng. 50:129 ( (March) ) 1941. 15. Jones, I. H., and Knudsen, V. O.: What Audiometry Can Now Mean in Routine Practice , J. A. M. A. 111:597 ( (Aug. 13) ) 1938. 16. Watson, L. A.: Audiometers, Hearing Aids, and the Ear Specialist: An Address and Symposium , Minneapolis, Minn., The Maico Company, Inc., 1941, p. 15. 17. Sjöberg, A. A.: Critical Review of Electro-Acoustic Test Methods and Choice of Amplifier to Improve Hearing , Acta oto-laryng. 28:437, 1940. 18. Larsen, B.: Investigations of Professional Deafness in Shipyard and Machine Factory Labourers , Acta oto-laryng. , 1939, (supp. 36) , pp. 3-255. 19. Crowe, S. J., and Burnam, C. F.: Recognition, Treatment and Prevention of Hearing Impairment in Children , Ann. Otol., Rhin. & Laryng. 50:15 ( (March) ) 1941. 20. Guild, S. R.; Polvogt, L. M.; Sandstead, H. R.; Loch, W. E.; Langer, E.; Robbins, M. H., and Parr, W. A.: Impaired Hearing in School Children , Laryngoscope 50:731 ( (Aug.) ) 1940. 21. Gardner, W. H.: Report of the Committee on Hard of Hearing Children for the School Year of 1938-1939 , Tr. Am. Soc. Hard of Hearing , 1940, p. 103. 22. Rosenthal, M.: Use of Prostigmine for Impaired Hearing , Arch. Otolaryng. 34:540 ( (Sept.) ) 1941. 23. Hughson, W., and Witting, E. G.: Estimation of Improvement in Hearing Following Therapy of Deafness , Ann. Otol., Rhin. & Laryng. 49:368 ( (June) ) 1940. 24. Kinney, C. E.: Testing Hearing and Evaluation of Results in Mathematical Figures , West Virginia M. J. 37:448 ( (Oct.) ) 1941. 25. Witting, E. G., and Hughson, W.: Inherent Accuracy of a Series of Repeated Clinical Audiograms , Laryngoscope 50:259 ( (March) ) 1940. 26. Bunch, C. C.: Personal communication to the author. 27. Sutherland, R. T.: The Noise Problem and Its Minimization Aboard Ship (unpublished report); cited by Behnke.3a 28. Electronics' Chart of Sound Levels , Electronics 4:43 ( (Feb.) ) 1932. 29. Without the industry, cooperation, and stimulation of Dr. Frank Impastato the present work could not have been done. Both he and I had just completed a year of postgraduate study and had had special training in audiometry under Dr. C. C. Bunch when this research was undertaken. 30. Bunch, C. C.: Clinical Aspects of Audiometry, to be published. 31. Newhart, H., and Hartig, H. E.: An Efficient and Practical Booth for Testing Hearing , Arch. Otolaryng. 28:1000 ( (Dec.) ) 1938. 32. Burr, E. G., and Mortimer, H.: Improvements in Audiometry at the Montreal General Hospital , Canad. M. A. J. 40:22 ( (Jan.) ) 1939.

WEAVER, D. F.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040069007

Abstract Moersch1 stated: "While it is true that bone tends to perforate the esophageal wall rather rapidly, it may remain in the esophagus a long time without producing a perforation." Vinson2 stated: "The esophagus is particularly intolerant to the presence of a foreign body, especially of bones." It is generally understood that a foreign body in the esophagus is likely to perforate the wall rather readily. Bone apparently has more of a tendency to perforate than a metallic foreign body. It is felt that the following case is of interest since the foreign body, a chicken bone, was present for a relatively long time without producing dangerous complications. REPORT OF A CASE A white man aged 39 was admitted to the Henry Ford Hospital on Oct. 9, 1942. He stated that on Aug. 15, 1942, while eating hash, he had swallowed a sharp object, which seemed to lodge at the lower References 1. Moersch, H. J.: Personal communication to the author. 2. Vinson, P. P.: Foreign Bodies in the Air and Food Passages , M. Clin. North America 16:1471, 1933.

BOGDASARIAN, R. M.;STOUT, ARTHUR PURDY

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040071008

Abstract Owing to the extreme rarity of tumors of the nerve sheath in the intranasal region, it seems of interest to report a case of such a growth. REPORT OF A CASE J. F., a white man aged 42, a Greek, was admitted to the urologic ward of the Presbyterian Hospital on Dec. 4, 1942 with a diagnosis of renal calculus. Because of the complaint of difficulty in breathing through the nose, with persistent obstruction, consultation with an otorhinolaryngologist was requested. The patient stated that five years previously he had been struck on the nose by the recoil of his gun, with resulting profuse epistaxis of two hours' duration. About two years previous to the present admission he began to notice difficulty in breathing through the nose, and about one and a half years before he felt an obstruction in the left side of his nose. There was no associated pain. References 1. Stout, A. P.: Am. J. Cancer 24:751, 1935.Crossref 2. Terplan, K., and Rudofsky, F.: Ztschr. f. Hals-, Nasen- u. Ohrenh. 14:260, 1926 3. Mittelbach, M., and Woletz, F.: Med. Klin. 31:275, 1935. 4. Cruveilhier, J.: Traité d'anatomie pathologique générale , Paris, J.-B. Bailliére & fils, 1849-1864, vol. 3, p. 622 5. Virchow, R.: Die krankhaften Geschwülste , Berlin, A. Hirschwald, 1863, vol. 3, p. 298. 6. Weinhold, C. A.: Ideen über die abnormen Metamorphosen der Highmorshöhle , Leipzig, W. Rein, 1810, p. 188 7. Virchow, R.: Die krankhaften Geschwülste , Berlin, A. Hirschwald, 1863, vol. 3, p. 298.

ELLIS, BERT E.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040074009

Abstract Adenocarcinoma is a malignant tumor which grows from any mucosa in which the epithelium is cylindric and from glands and ducts having cylindric cells in their lining. It might truly be called cylindric cell cancer. It is the malignant counterpart of benign adenoma. Adenocarcinoma is not common in the nasal cavity and the accessory sinuses. New1 found only 6 adenocarcinomas in a series of 91 primary tumors of the antrum. Fabricant2 reported only 1 case of adenocarcinoma in 23 cases of nasal tumor. Nash3 noted none in a smaller series, but Hill4 found 2 adenocarcinomas among 8 malignant tumors, both in the antrum. Ringertz5 reported 10 cases of intranasal adenocarcinoma in a large series of cases of malignant tumors of this region from Radiumhemmet and Sabbatsberg's Hospital, Stockholm. In practically all the cases of adenocarcinoma reported in the United States, the antrum has been the site of the tumor. Ringertz, References 1. New, G. B.: Malignant Diseases of the Paranasal Sinuses , Am. J. Surg. 42:170 ( (Oct.) ) 1938Crossref 2. Malignant Tumors of the Antrum of Highmore , Arch. Otolaryng. 4:201 ( (Sept.) ) 1926.Crossref 3. Fabricant, N. D.: Incidence of Malignant Tumors of Head and Neck , Arch. Otolaryng. 29:65 ( (Jan.) ) 1939.Crossref 4. Nash, C. S.: Management of Malignancies of the Sinuses , Ann. Otol., Rhin. & Laryng. 44:220 ( (March) ) 1935. 5. Hill, F. T.: Malignant Disease of the Sinuses , Ann. Otol., Rhin. & Laryng. 46:158 ( (March) ) 1937. 6. Ringertz, N.: Pathology of Malignant Tumors Arising in the Nasal and Paranasal Cavities and Maxilla , Acta oto-laryng. , 1938, (supp. 27) , p. 1.

BEINFIELD, HENRY H.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040078010

Abstract This case is presented because of the comparative rarity of the condition and to show the necessity of a proper differential diagnosis. REPORT OF A CASE History.—An Italian girl aged 17 was admitted to the surgical service of the Coney Island Hospital on Nov. 17, 1941, with a diagnosis of peritonsillar abscess. Cursory inspection of the mouth and pharynx appeared to confirm such an opinion, but after careful examination a diagnosis of leukemia was made. Such a mistake in diagnosis has not been uncommon—so much so that a leukemic infiltration has often been incised for a peritonsillar abscess.The chief complaint was pronounced swelling of the left side of the face and neck for one week, with increasing inability to talk and swallow. The family and the previous personal history were without significance. Her present complaint started about one month before with symptoms referable to the upper respiratory tract. At

SINGLETON, J. DUDLEY

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040080011

Abstract In reviewing the American and British literature on tonsils and adenoids for the year beginning Oct. 1, 1941 one finds a notable decrease in the number of articles published on this subject. However, in spite of the scarcity of material, several interesting and worth while articles have appeared. Several papers have been published on the relation of tonsillectomy to poliomyelitis. Postoperative complications and infections attracted considerable attention, and benign tumors of the tonsils have been discussed by a few authors. The adenoid was largely neglected; it was mentioned only casually in connection with the tonsils and the nasopharynx. TONSILS: GENERAL CONSIDERATIONS Unger1 calls attention to the fact that analyses have been made by many students in recent years which have caused considerable doubt concerning the value of tonsillectomy in alleviating or curing such conditions as heart disease, rheumatism, nephritis, pulmonary disease and gastrointestinal trouble. He then states:... It behooves References 1. Unger, M.: Tonsillectomy, Adenoidectomy and Cryptotomy , M. Rec. 155:119-122 ( (Feb. 18) ) 1942. 2. Emenhiser, L. K.: Too Many Tonsillectomies! Mil. Surgeon 91:182-185 ( (Aug.) ) 1942. 3. Coates, G. M., and Gordon, W.: Indications for Tonsillectomy , Pennsylvania M. J. 45:218-225 ( (Dec.) ) 1941. 4. Shambaugh, G. E., Jr.: Technique of Tonsillectomy and Adenoidectomy , S. Clin. North America 22:237-252 ( (Feb.) ) 1942. 5. McAuliffe, G. W., and Leask, M.: Laboratory Analysis of the Contents of Tonsil Crypts as Obtained by the Wet Suction Technic , Arch. Otolaryng. 34:758-770 ( (Oct.) ) 1941.Crossref 6. Gerrie, J., and Mackenzie, J. R.: Basal Narcosis for Tonsil Operations on Children , Lancet 1:759-760 ( (June 27) ) 1942.Crossref 7. Kaiser, A. D.: Effect of Tonsillectomy on Respiratory Infections in Children , Bull. New York Acad. Med. 18:338-346 ( (May) ) 1942. 8. Zerffi, W. A. C.: Tonsillectomy and Its Effect on the Singing Voice , Arch. Otolaryng. 35:915-917 ( (June) ) 1942.Crossref 9. Maxey, K. F.; Pharr, J. J., and Smith, M. R.: Diphtheria in Baltimore: Tonsillectomies as Related to the Diphtheria Carrier Rates , Am. J. Hyg. 35:42-46 ( (Jan.) ) 1942. 10. Ashley, C. W.: A Note on the Tonsil Question , Pennsylvania M. J. 45:594-595 ( (March) ) 1942. 11. Ross, A. M.: Misplaced Wisdom Tooth Extracted During Tonsillectomy , J. Laryng. & Otol. 56:437-438 ( (Dec.) ) 1941. 12. Monteiro, A.: Modern Treatment of Acute Tonsillitis by Injection of Bismuth Compounds , Arch. Otolaryng. 34:719-722 ( (Oct.) ) 1941. 13. Brakeley, E., and Shaul, J. F.: Pediatric Aspects of the Tonsil and Adenoid Problem , Arch. Pediat. 59:347-355 ( (June) ) 1942. 14. Shambaugh, G. E., Jr.: Tonsil Knife and Adenotome for Use with Head in Hyperextended Position , Arch. Otolaryng. 35:934 ( (June) ) 1942. 15. Avcock. W. L.: Tonsillectomy and Poliomyelitis . Medicine 21:65-94 ( (Feb.) ) 1942. 16. Francis, T., Jr.; Krill, C. E.; Toomey, J. A., and Mack, W. N.: Poliomyelitis Following Tonsillectomy in Five Members of a Family on Epidemiologic Study , J. A. M. A. 119:1392-1396 ( (Aug. 22) ) 1942. 17. Seydell, E. M.: Relation of Tonsillectomy to Poliomyelitis , Arch. Otolaryng. 35:91-106 ( (Jan.) ) 1942. 18. Iglauer, S.: Septic Thrombophlebitis of the Neck , Arch. Otolaryng. 36:381-384 ( (Sept.) ) 1942. 19. Hara, H. J., and Courville, C. B.: Intracranial Complications of Tonsillar Origin , Arch. Otolaryng. 35:530-571 ( (April) ) 1942. 20. Gorrell, R. T.: Treatment of Delayed Tonsillectomy Hemorrhage , Am. J. Surg. 57:147-150 ( (July) ) 1942. 21. Cunningham, B. P.: Clinical and Experimental Studies with Sulfapyridine as a Hemostatic Agent , Ann. Otol., Rhin. & Laryng. 51:301-316 ( (June) ) 1942. 22. Judge, A. F.: Subcutaneous Emphysema Following Tonsillectomy , New York State J. Med. 42:1359-1360 ( (July 15) ) 1942. 23. Waddell, W. W., Jr., and Birdsong, M.: Tularemia with Local Lesions Confined to the Tonsils: A Case Report , J. Pediat. 20:368-369 ( (March) ) 1942. 24. Henner, R.: Papilloma of the Tonsil and Uvula , Arch. Otolaryng. 35:810-811 ( (May) ) 1942. 25. Thomson, L. C.: A Fibroadenolipoma of the Tonsil , J. Laryng. & Otol. 56:368-369 ( (Oct.) ) 1941. 26. Frank, I.: Plasmocytoma of the Tonsil , Ann. Otol., Rhin. & Laryng. 51:22-28 ( (March) ) 1942. 27. Ridges, A. J.: The Nasopharynx , Southwestern Med. 26:255-261 ( (Aug.) ) 1942.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040090012

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

GOODALE, ROBERT L.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040097013

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Mucocele of Frontal Sinus: Report of Three Cases. Dr. H. G. Tobey, Dr. Philip Mysel and Dr. E. J. Halton. CASE 1 Dr. E. J. Halton: A white woman aged 68 entered the Massachusetts Eye and Ear Infirmary on Jan. 12, 1942 with a history of pain and swelling of the right eye of one year's duration. She had had "sinus trouble" for eleven years. In 1936 two polyps were removed from the right nasal cavity. One year prior to admission, after a "cold," there developed swelling of the eyelids and intermittent pain over the right side of the head. In the past few months this pain and swelling have been more severe.The right eye presented swelling and ptosis of the upper lid, with narrowing of the palpebral fissure. Beneath the supraorbital rim there was a moderately firm, slightly tender mass which pushed the globe downward, outward and slightly

TUCKER, GABRIEL;BURNS, LOUIS J.;HEWSON, WILLIAM;FURLONG, THOMAS F.;WHELAN, GEORGE L.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040103014

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract The Problem of Impaired Hearing. Dr. James A. Babbitt. It is obvious that a paper with a title of such far reaching scope should attempt to bring up to date and to analyze the present situation with respect to impaired hearing. The subject might be discussed under three heads: (1) the discovery and management of hearing disability in children of preschool and school age; (2) the enormous number of mature, but still active, persons who are handicapped by deafness in their economic and social relations, and (3) the increasingly large number of deafened persons in the geriatric, or older age, group.It will probably come as a pleasant relief to this audience to learn that there is no intention of reducing this paper to another monotonous and tiresome review of the procedures in the examination of thousands of school children, which statistical reports from state boards of health and education

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040108015

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract There has always been a need for "handbooks" and "outlines" in all specialties. This is especially true of otorhinolaryngology, the more "comprehensive" works on which run to 500 pages and more. In his new edition Dr. Ballenger has rearranged the material and amplified the text. The chapter on laryngeal conditions dependent on "nerves" required reediting, and it was necessary to add a chapter on foreign bodies in the lower airways. The technic of tracheotomy ought to be well rehearsed by every one from time to time, as the operation is a life-saving measure which calls for immediate action. Some four pages are devoted to it in this edition. The "busy practitioner" has no time for theoretic discussions, and he cannot expect to learn surgical technic from a textbook. Only in an operating room can he apply the knowledge which he has gained from watching other surgeons at work. Dr. Ballenger

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040108016

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract The next examination of the American Board of Otolaryngology will be held in Chicago, at the Palmer House and the Illinois Research Hospital, on Oct. 6, 7, 8 and 9, 1943. Candidates should apply at once to Dr. Dean M. Lierle, secretary of the board, University Hospital, Iowa City.

1943 Archives of Otolaryngology

doi: 10.1001/archotol.1943.00670040109017