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Charles Enfield, M.D.
JAMA. 1887;IX(16):511. doi:10.1001/jama.1887.02400150031012.
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Dear Sir:  —Catheterization of the Eustachian tube, which occupies so prominent a place in diagnosis and treatment of the diseases of the ear, when attempted in the ordinary way, is not always as satisfactory as the simplicity of the maneuver would indicate.Recently, in the case of an adult who sought relief for distressing tinnitus with deafness, the deflection of the septum was such that the route by the floor of the nostril proved quite painful, and finally unsuccessful, from the fact that she felt the column of air arrested before it reached the middle ear. The use of the Politzer bag not furnishing better results, it occurred to me that with the aid of the rhiniscopic mirror and giving the catheter a sufficient curve, I could succeed by the direction of the fauces.The method proved satisfactory and is not painful. I found it also available on account


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