Wayne State University School of Medicine - Yearbook (Detroit, MI)

Page 54 text:

IHPARTMB T OF OTOLARY GOLOGY l I ' ' I E l 5' 'T 'Alt 1'-9 I G. JAN BEEKI-IUIS, CHAIRMAN FIRST ROW: Geraldine M. Purcell, G.jan Beekhuis, -james E. Crou- Edward B. Harrington, Dieter Wendling, james 'l . Mimura, shore, Delmar F. Weaver, I. Jerome Hauser. SECOND ROW: Lionel Ned I. Chalat, Dr. Martin B, Trolsky. V. Kuran, Miles Taylor, Richard Royer, Paulj. Dzul, Philip M, Binns, 52

Page 53 text:

.,-.- '..... . . - ,....- Ynili- , o'6er 5Cl1e11fl'2l ' 'lull e A y fhecleufngl .1 ' .- .at-a In 'iF!11lf.'Mf-v-' Va., 1' - - -'- -51: 'I V I .+ it fsloigp 'I sz - -- A -L-:C f ' a - - 19 - . ' 4'-3?-.t . V., '.E-1 'I ' Qilix ii i 3 X A V::5.:,l J 2 u ' 'QPXSIY X Q N W if 5. - V N aegw fb ' 2 mo - 5 ag . 1 ,sta nnfugwg-5 - y .Q .--Ex? S FS ?'4fatitaQ? f i . I 4, i it-5 ' Q X X. W- f 5 ? .- 5 .IJ ml -itittltittltutittitiiittumnmiuim - W ' l in utmtuutiuttutuum ri liliiiikilglllllgbl-W sg us- ' nn as f . ---f bi I W LE f llllmlmr . N-ixxxxixisimxxxxxxuxmmxxxxxxmxx x e -ff E - ' I 5 - I ' - .1 E 1 :TT ' in - A 5 ..l - Q.: M ,ggi 'c Q Q 5: .mwah-Q-' x h - il s . X- lf A e - .L-f - I a ThB Xl Leg-stretching machine, pictured in Gersdorff's book, was accompanied with rhymes advertising author's dexterity. Patient makes this plea: When I am stricken hip and thigh, or wounded gricvously do lie, I hope that God will bring to me, Gersdorff's artistic surgery. Since the early writings of Hippocrates in the 3rd and 4th centuries many virtual giants have given rise to the specialty of Orthopedic Surgery. In 1741 Nicholas Andre published a work the title of which gave rise to the term LlOrthopaedia from the Greek Orthos Cstraightj and Paidios fchildj. I-'le submitted the proposition that the prevention of deformed adults lay in the development of straight children. Early workers in the field were shrewd observers. Such men as Sir Percivale Pott, 1714-1788 fPott's Disease gl Pott's Fracturej, Sir james Paget 1814-1891 fPaget's Disease of Bonel, glean-Martin Charcot, 1825-1893 fCharc0t Jointsj, William .john Little, 1810-1894 fCere- bral Palsyl and Abraham Colles 1733-1843 fColles Fracturej laboring without anesthesia, asepsis and x-raysg facilities which we now take so much for granted, contributed much. Sir Astley Cooper C1768-18481 in his Treatise on Dis- locations and Fractures of the joints states: G'Nothing is known in our profession by guessg and I do not believe that from the first dawn of medical science to the present moment a single correct idea has ever emanated from conjecturew-but rather by careful study and hard work. The road to knowledge in this field has not been short and many great problems still remain to be solved and in this challenge lies the peculiar fascination that Ortho- pedic Surgery holds for its devotees. 51

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J ',,.. .Q x N .X grit X MANN, .Con -ttf, l.aryr1tgqu.vmpf'fitted up to old time oil lamp. The light of the lamp is received on a mirror from which it is reflected on to a small mirror which is introduced into the fauces of the patient, and from this mirror again the light is thrown down upon and into the larynx. As soon as it was recognized that deafness was due to either a defect in the con- duction of sound to the cochlea, or in the perceptive apparatus itself, attempts were made to correct the conduction defect surgically. The first attempt was made over one hundred years ago and was limited because of the small size of the structures involved andthe difficulty in controlling infection. Since the introduction of antibiotics and mierosurgery, considerable advances have been made in middle ear surgery. Before antibiotics were used it was not safe to remove the stapes for otosclerosis, because infection of the endolymphatie space inevitably led to meningitis. Even after the introduction of antibiotics it was con- sidered a hazardous procedure and was not done electively until 1955, when it was first removed and replaced by a prosthesis. This is now the standard method of treating conduction deafness due to otosclero- sis, and, although considerable improvements in technique have taken place, there is still no single procedure that is accepted as the best. Further technical develop- ments may be expected, but it is now obvious that the major research emphasis must be on the causes of the condition rather than on its treatment. N ask NJ'