AURAL VERTIGO OCCURRING IN SUPPURATIVE DISEASE OF THE MIDDLE EAR

I think the majority of experienced otologists will confirm my statement that severe vertigo resulting from middle ear suppuration without labyrinthine involvement is not sufficiently common to call for prolonged discussion here. At least, the distinguishing features of the vertigo in such cases may be more profitably analyzed in connection with special case reports. The following conditions, however, require passing mention:1. A few cases of chronic middle ear suppuration have been observed or reported in which granulations in the region of the oval window and pressing on the stapes have caused vertigo which has been relieved by careful removal of the granulations. 1 recall one such case which I saw with Dr. Harmon Smith in which operation later was successfully performed by the late Dr. Sheppard of Brooklyn. The diagnosis of this condition would, in most cases, be tentative prior to operation. It could be determined with some degree