OTALGIA AND MASTOIDALGIA NOT INDICATIONS FOR OPERATION ON THE MASTOID PROCESS

HAROLD I. LILLIE
1922 Journal of the American Medical Association  
It is time to cor¬ relate and coordinate all of the scattered knowledge on the vocal functions into a more cohesive whole, that investigators may know where to look for the latest advances and enjoy that moral support which is essential to all workers in the field of human betterment. The need for voice specialists is being expressed by our own members and by the laitysingers, actors, teachers of vocal expression and others, who feel, from sad and costly experience with so-called "vocal
more » ... rs" and near-specialists, the need for the adequately trained voice specialist. I recently heard a prominent otolaryngologist say that the time would come when we would have as accurate an estimate of voice ability as is now pos¬ sible in estimating the loss of hearing, and to do so calls for a standard of sound. The treatment of the falsetto voice of puberty resolves itself into a reconstruction in the patient's mind of his conception of how his voice should be produced. It is really a psychologic approach, and it affects a readjust¬ ment in the patient's mind, so that his voice becomes placed where it should be in the adult register. Dr. Louis K. Guggenheim, St. Louis : I should like to ask Dr. Kenyon just how he differentiates central from peripheral involvement by putting his hand on the patient's neck. As
doi:10.1001/jama.1922.02640060013005 fatcat:ej5pcjwkjbaq3hcxviz4q24dou