Pittsburg dispatch. [volume] (Pittsburg [Pa.]) 1880-1923, 1889-12-28
INTERESTING PAPER
On the Relation Of -Pharyngeal
Diseases to Deafness and Their
PERMANENT CURE BY SURGERY,
Read BY DR.. ". H. DAILY Before the New,
York Academy of Medicine
ADVANCEMENT OF TIE HEALING Art

lcoRRFsPoNpENCE OF THE DIsPATCH.I
aJ,,,r vo.,-1 na.a,,hsr Of -nr Dalv of
~. ). ~ NJ Wi,
Flttsourg, Dy invitation OF the Ne" Ao1A
Academy of Medicine. read paper before
-.
that learned and exclusive DO0V THIS eFen-
ing upon the 'sRelation of Naso-P Pharyngeal
Diseases to Deafness and Other Ear
a4; xu;4L por,o-ls Trnon Their
AHectiOnsi Sn neuoA No PoA
Proper Treatment" A dinner was
o;van aFtarward at the University
80 M, vo.i-
SAup al nonol u eue u0o.Oi.
Academy OF Medicine is the most learned
madical hodv in Amarica and analogous to
N1
the French Academy, ana rarely lnfAees al
outsider to read a paper before it unless
= -. l:4: a
L;1;4 =; $3.50 s,.ao;o1 hronch nf madical
aOlllSy Al sVuS sPoSAeA DAS'
study. DR.. Days paper was as follows:
Mr' ffesloent ano Uenue"en' ,
As my proem 70 TINS very lnAoequA.e Papeh, !
- s.r1a r,or,,,av +nent OF diseases ofthe
WI :, .to oho,,t the an
Lar, " therels, anu mas Deen tni ~
tire history of aural speciaism chiefly three notes
oorndad y,z Iotions leeches and installations;
80 .o.sa ~ the mart oY the general practi-
tioner there has been from all time an lnane
tenor OF teaching to the layman, which too often
~ 80 A.. -, Al ohiact m conceal Ignorance
hau lOr lts primal VOJees - eo S.s se a..
regarding the pathology and tnerapeutlcs oI tne W
ear, but ostensibly expressed TO tne emo snss ear
organ too delicate To he. tam pered with-a grim
eTgpressSn sTT Of unconscious humor smacEing
somew6st of the office of the undertaken.
sumo N"s " U-e ol.-oo y -
AN OBSTINATE JOHN BULL.
Ano,d Enplishman. for many years quite deaf
N w a---Itad - -. S-aonantIy and with conN
"uo WV , ~ .,. tir1erts toId me that
oence, concerning obneE aAAAne so NJ .. -
discharges from his ears cured was that he had
haan a5,isod nv a nrorninent medical man in
1r,, ~ - a. .T1o,- dootor to .srness wi tth
SnstHuu' - rS S,,-oa 60 ad,ica ,.ith tho
charseteristic obstinacy of a true Briton, and
died. after 40 years Of suffering, with mastoid abb
scess In addition his nareswere filled with polyps
He had only the poor satisfaction oI Delng conSls
tent IN ms oDstn@ey: Frtr tSst whe the therapeu
tics az the ear s6ecialst has been ringing Of the
changes upon lotions, leeches and insufdations,
some OF them have for number OF years recog-
nized the necessity oI lnspecIins 4 sne sSt masE,
pH snu 1ronort,on If the Catarrhal and
otber i@asmRatory ear diseases is in the naso-
pharynx Yet there is at best in the text books
Of to-day upon the ear only routine and stereo-
fvned manner of adyertinR to the subject, with
TttIe stress nnon the need for operative surgical
measures and Iitth pertinent teaching of prac-
ticaI use to the practitioner guide in taking
hold of a case and effecting cure by striking at
the root of the ailment and removing Its cause
when located in the naso-pharynx. Inls Is A a
cannot. therefore, be considered offensive by
those who are equally honest and earnest in
taking radical hold OF these st9Doorn CSs9S
progress.
Inc brilliant advancement OF i1 E,th % r.
gerry In the past ten years mas o.OuEns f IA l s b
many valuable lessons. not only to the old-tasn-
ioned larry gologist, Dutt the od-lasnoneu o.ol-
ogist as we'll No one donPt tas tue tSo stve
pace or fashion In therapeutics, ana tne connulHS
'Coltie Medlco canters as near! a. f5,nrs Il
N1no1 nroIf
beneath him to cease making MS patlenls sing
''OhI' 'Anl - Win Q inlllVa III II s,S SlvaS ~
to see. 1t would
11EAr rur coInEN RIIE
H1AN -
and fly in the face of the learned professor, his
to.cher 90 the vounr biologist looks at the ear
s SoooHN. ,o,.,r ~ ,ro. a. Tbor With tho nvsterfons
1ran ., iOSn1 Sa Ss irsnfsates according to rule
and routine; yet neither OF them VIII look ior tne
central disease in the naso-pharynx, and II they
do, and fnd 1t TO oe an occauulns ~
.ne ~, thew will even then do no more
tl., .,n,ov snrav or something else that can do
little more than tenporize or cleanse. This may
seem to the hearer who Is preolspoSea 10 me ultra
sclentnc on nisce h1T yVhy tsseeE too high Tor
tHins Close byP,t Nhy not apply the rule of COM
M sense. and Law the results of practical exper
Hence before the profession? And who, pray, Is
the sole possessor of all the tradit9nai WISDOM IN
otoIogy? Who shall say Inc nay? If the removal
abnormalities and aso-pharyngeai adenoids, and
hypertrophied tonsils has resulted IN larger
percentage Of cures OF concaent on s ess
Thorough method. wuo shall hesitate to teach the
profession this truth, although ne pc not pro-
fessor or even practitioner in metropolis.
Ceptiemen, it is a bolder, BETTER and more
rational teaching that the writer would lnculcate
and which he trusts the specialists here present,
who are professors in either laryngology or otol-
ogv Wilt accept, will recognize the need OF, and
hereafter teach their students, and the practit1on-
ers who look TO them for substantial guidance in
the successful management of ear and throat dis
eases.
Twentv-fye wears of a busy professional life,
,-ith nIose and honest clinical observations and
tho inst dfteen of that time devoted almost ex-
cusYely to the study and treatment of diseases Of
trnst ohtsin for me a pardon for accepting an in
yitation to address this body, SO justly renowned
for IFS medical learning both general and special
iU hodv hsS which in scientific learning is probably
+ha reay If env mod cal organization in the uni
Lhe P0oA1 ooaa,Ian{ " +hef the studv of
verse; 1repeaS tnS' 'ne ssuu' OA
INTRA-NASAL SURGERY
~ A'--- =
has brought most brilliant results. 1t has also
brought many q happy solution OF the knotty
..o,,,ar0s an noso.aurai surgery as nv personal
P,- a n1trinol rota books win a,nnlv
tostifv The aural surgeon who now continues to
limit himself to the old method of treating the
external ear. with lotions and the internal and
middle ear with installations and authorizations
totally ignoring the true central origin OF at least
81 per cent Of his lnhammatory cases IN tne naso-
pharyn Is noI ~. f ~ tSe He is not cnmne
proper 1pco the sneciaitv much less teach il
The mart If has been my humble privilege to per-
form in the establishment and development of
now well recognized school OF intra a-nasal sur
gerry In america Is one quAiiSs wen AhOmd ona
TO the stuoeaI Jul nronS sattsSoc ctinn snn
may tIeSly yS LIZ ost - .ionpP tor conc vasrs IN
70 me: AS tbot the intrsnasai stynctnres cd
Lny @ -, attanfion. on raful insnection and
snouio nave our s .i o .i ~ @ u III
surgical treatInens loa S,tt snS Ssti ~ hy Iy
norman ~ 90 re Sisaaeae ,ot 1aIl +haf
seen from Lnat sorI VI caLe sS' ii Suas &
had been regarded as lncuraple, alH eaIleo py
every name nom neuroses " t , ~ tS
stay WELL and are now WeliLnolaDly nay
asthma, and obstinate diseases OF te lnternal ana
middle ear, attenoeu Win ols2 ustlnR muc0-puru-
lent discharges. My WORK anu observations on
hay asthma were made known to the profession in
1851 And if one will take the trouble to exam