On Secretory Catarrh of the Middle Ear with Special Reference to its Pathogenesis and Prognosis

Secretory Otitis Media in Children

“…That finding is in accord with the work of Politzer, 2 Ivstam,15 Hoople,16 and others. In the treatment of chronic cases, Rawlins 48 and Jones 21 have advocated self-inflation after myringotomy.…”

“…In fact, the pendulum has swung the other way. Ivstam,15 writing from Sweden, stated that "secretory catarrh is believed to be such a serious problem (in the United States) that Hoople termed it a 'challenge to otolaryn¬ gology'." That the problem is a serious one, not so much from the standpoint of the disease itself as in the light of adequate and accurate diagnosis and treatment, can hardly be denied.…”

Diagnosis and Treatment of Otitis Media

“…This is the so-called "hydrops ex vacuo" theory of Politzer. An exudate is secondary to inflammatory response of the middle-ear mucosa (Ivstam, 1954).…”