Gordon D. Hoople

LXXXI Anomaly of the Lateral Sinus: Report of a Case

To understand the ease with which anomalies may occur, a study of the embryology of the dural sinuses is in order. A detailed account of the development of the veins of the head is too intricate for present purposes. A summary, however, of the changing conditions which eventuate in the adult lateral sinus will be given to bring out the possibility of variations in the character and position of this structure.

THE RELATIONS OF HEARING LOSS TO NOISE EXPOSURE

Abstract : Contents: Definition of Variables: hearing loss, noise, exposure; The Human Problems of Industrial Noise; Presbycusis; Requirements for Field Data; Continuous Exposure to Steady Noise: The Relation of Hearing Loss at Certain Frequencies to Octave Band Levels; Average Net Hearing Loss Contours; Trend Curves: Estimates of Average Net Hearing Loss; Confirmation of the Trend Curves; Limitations of Trend Curves: Spectra and Extrapolations; Limitations of Trend Curves: Intermittent Exposure and Non-Steady Noise; Limitations of Trend Curves: Temporary Threshold Shift; Reduction in Temporary Threshold Shift after Cessation of Exposure; Exposure to Low-Frequency Noise; Gross Hearing Losses in Three Hypothetical Groups; Intermittent Exposure to Steady Noise: Airplane Noise; Jet-Engine Noise; Intermittent Exposure: Riveting Noise; Impulsive Noise: Proof-firing; Impact Noise: Drop Forge; Relation of Threshold Shifts to Initial Audiograms.

Histologically malignant glomus jugulare tumor; case report.

One case of histologically proven malignant glomus jugulare tumor has been presented.

X An Otolaryngologist's Experience in World War II

I was a member of the 52nd General Hospital. This was an affiliated unit. Its staff was chosen from the faculty of the Medical College of Syracuse University. There were half a dozen men in the group with whom I had worked medically for more than 25 years. My entire medical endeavor was spent with this group. From time to time there were personnel changes in the unit but my relationship remained fixed.

LIV Radiographic Findings in Cochlear Otosclerosis

With the advent of polytome tomography of the ear, several diagnostic items are available with greater clarity than previously has been possible. Among these are: 1) The detection of tumors in the internal acoustic canal. la) Laminography of the petrous bone in association with pneumo-encephalography in the detection of VIII nerve tumors. 2) The dislocation of ossicles in the middle ear. 3) The presence of cholesteatoma in the middle ear. 4) Fractures of the temporal bone. 5) Fractures of the canalis facialis with detection of depressed fragments. 6) Fistulae in the semicircular canals. 7) Tumors of the middle ear. 8) Thickening and fixation of the footplate of the stapes. 9) Bony changes in the otic capsule. In this presentation, we wish to discuss the last item in this impressive series. Prior to our discussion, however, a resume of the techniques employed in our center follows.

VII Non-Surgical Treatment of Diseases of the Nose and Pharynx

In preparation for this paper I read over most of what has been written on treatment of the nose and throat during the past five years. Of course, this included surgery which is not within the scope of this paper, yet all of it made interesting reading. If one separates the chaff from the wheat, a very good picture can be seen as to the proper way to treat rhinolaryngologic diseases. However, a discerning mind must be put to the task or one will find himself treading paths in unknown fields. The extremes of the picture furnished the most interesting, if not trustworthy, information. As an example, one method of treatment was advocated as a valuable remedy in the relief of acute sinusitis. I have forgotten the name of the author and even his method, but I recall his closing sentences. In these he advocated the use of his procedure and used as an argument in its favor, the fact that most of his acute cases recovered within a month. One wonders if his treatment did not prolong the condition, to make them last that long. At the other end of the scale, some of our surgically-minded friends assure us that success is ours if we will only place a certain flap of mucous membrane in a certain place, or do some equally exact maneuver. I cite these instances, not to ridicule the authors, but to emphasize the difference in viewpoint with which this problem is approached. One must know the background and work of the author before an article on treatment can be properly appraised.

XLV Summation on Discussion of Sensorineural Deafness in Otosclerosis

I have speculated as to the reason why Dr. House chose this particular subject. It cannot be because he did not know that cochlear otosclerosis was a clinical entity, for I know that he has a comprehensive picture of it. He knows that investigators for more than 50 years have written upon the subject. In particular, but not solely, Seibenman, about the turn of the century, wrote about cochlear otosclerosis and used much the same language as we have heard in these last two days. There are many references to our subject in the literature. I have seen more than 30, and I am sure my studies have not been exhaustive.

LXI Edmund P. Fowler Memorial Lecture

It seems most appropriate that the first Edmund Prince Fowler lecture should be given on the occasion of the lOOth Anniversary of the American Otological Society, Inc., for there are few men in its century-long history who have had a more profound effect upon this Society. In this first lecture I propose to relate some of the history of the Society, to appraise Dr. Fowlers value to it and to set the stage for what, in the future, should be a memorable series of scientific lectures.

XXXVI Management of Cavernous Sinus Thrombophlebitis

The title of this paper may be presumptuous. A year ago it would have been without meaning. Today, however, with the knowledge of the advances made in chemotherapy in 1940, we suggest that there can be a planned management for cavernous sinus thrombophlebitis. When further advances in chemotherapy come to our attention, as they surely will, what is said here will then seem inadequate. Yet the suggestions of the hour are as daylight compared to the night of despair which surrounded most of us in the past when we were confronted with one of these cases.