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SENSE OF HEARING: EAR INFECTIONS AND LEMPERT’S OPERATION
Infections of the ear
In the past, infections of the ear have been a common and serious problem, especially in children. Most “acute ears” were treated by a little incision through the eardrum which let out the infected material. If this was not done soon enough, the infection would travel through the air spaces in the mastoid bone just back of the ear. Then an elaborate operation was done to remove the infected bone. Now the use of antibiotics has almost abolished the surgical treatment. The secretary of a very busy pediatrician just told me that she has been in the office for twelve years and she knows of only one ear which was opened during her time.
Lempert’s operation for the relief of deafness
It is hard to keep the surgeons down, however. Surgery for infection has gone, but Dr. Julius Lempert, of New York, has developed an operation for the relief of deafness. It has a most delightfully musical title: the fenestration operation for otosclerosis. Translated into the less accurate and more long-winded Anglo-Saxon, this means cutting a window into the ear because of hardening of the flesh. The surgeon cuts through the tissues and bone until he makes an opening into the middle ear. Then the air waves travel through this opening and strike directly on the apparatus which sends sound to the brain. The great trick is to make this opening so that it will not heal again and leave the patient in the original condition. Nature has a tremendous urge to repair any injury done to the body. Ambroise Pare, the great French surgeon of four hundred years ago said: “I dress the wound, God heals it.” Surgeons of those days poured boiling oil over battle wounds. Pare found that wounds which escaped this horrible procedure did much better. Dr. Lempert had to treat gently the wounds going into the inner ear and they had a tendency to heal over completely. However, he now feels that he can do the operation so that the wound will heal and still leave a channel open for the air.
*55/276/5*

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