The fibrous bands thrown across the middle ear in hyperplastic otitis media form for the aurist a "pons asinorum." When a sclerotic case presents itself we usually break to the patient the interesting intelligence that nothing can be done for him. Politzer1 says: "adhesive inflammation of the middle ear does not admit of a restitution of the function of hearing." Gruber2 says: "the prognosis in plastic inflammation of the middle ear is upon the whole unfavorable." Dench3 assures us: "the usual course is steadily progressive."
Yet it is the busines of the aurist to benefit such cases. And it has always seemed to the writer that the various operative procedures suggested and practiced by various aurists for the relief of these cases were futile because irrational. Certainly all aurists agree that ankylosis of the foot plate of the stapes with the bony wall of the fenestra ovalis