Inasmuch as closer and more accurate observation has been made, new facts brought out, old theories exploded, and better results obtained, since the reading and discussion of this topic at the Western Section of the American Rhinological, Otological and Laryngological Society held in St. Louis two years ago, I do not feel that it is necessary to offer any apology for bringing the subject again before you. I desire to emphasize in the very beginning that it is full and free discussion that we are after.
In the treatment of all disease, whether due to pathologic condition or functional disturbance, the fact as to the cause of the existing condition is what concerns us most. What is the matter and why does it exist, and what will relieve or palliate most effectually the condition that confronts us, are the perplexing questions that we must face.