11/34 American Medicine article about the Elliot Machine:
A NEW CURATIVE TREATMENT FOR DEAFNESS
I. Daniel Shorell, M.D.
New York, N.Y.
Reprinted from the November, 1934 issue of AMERICAN MEDICINE
New Series, Vol XXIX, No. 8, pages
494-497 Incl.
Copyright, 1934
Any curative treatment for the alleviation of deafness is
important. At the present time, there is no adequate
curative method. For this reason the author wishes to
present the following report of his treatment for deafness
which appears to be curative, or in some cases beneficial.
So far the results have been uniformly good.
Hearing has gained little or nothing as regards a solid
curative therapy in recent years. Otologists have
contributed almost nothing to sufferers of catarrhal deafness
despite the astounding figures that show ninety per cent or
more of deafness to be of that type. The aurist still clings
to the antiquated method introduced by Politzer over fifty
years ago. The scope of the treatment is limited and the
benefits doubtful. The specialists must needs despair when
confronted with a case of chronic catarrhal deafness, and the
honest aurist will frankly so admit. Therefore the therapy
being inadequate in such cases, it has become the earnest
purpose of this paper to give to the profession a new therapy
for curative and preventive treatment of such deafness.
The method defined consists of a "combination" of two
distinct therapies:
A. THERMOSTATIC.
B. VIBRATORY RESONANCE.
One is an integral part of the other and dependent on it.
The thermostatic treatment consists of dry heat. This is
accomplished by a machine which propels a heated solution
through distensible rubber tubes inserted into the entire
length of the nasal cavities. By this means the "Catarrhal
Condition" of the entire hearing tract extending from the
middle ear to the inner ear, and the Eustachian tube is
relieved. There is a subsidence of the inflammatory
condition; improvement in the circulation; reduction of the
congestion and a rejuvenation of the terminal auditory
nerves. Further, the heat produces a flexibility and
limbering of the tympanum, the bony ossicles, the various
ankyloses, the tightened ligaments, and the stagnant fluid
endolymph. The thermostatically prepared structures are then
ready for the second major therapy, the object being to cause
them to respond to a vibratory influence. This is
accomplished by the use of "Regulated Oscilatory
Resonance." Sound resonance of varied volume and
frequencies are applied through the outer ear. This
manifests itself by ether vibrations of the air. Such
vibrations on reaching the outer ear are transposed into
mechanical motion through the middle ear until it reaches
the auditory nerve which translates it and telegraphs it to
the hearing center in the brain. Thus sound conduction is
again made possible.
PROCEDURE:
A. Thermostatic:-
Lubricated rubber catheters are simultaneously inserted into
the nasal cavities until they reach the hard palate. The
catheter is about six inches long and half an inch in
diameter. Shorter rubber tubes are inserted into the outer
ear to the tympanum. The tubes are made of a thin
distensible composition rubber. Except for the very tip,
it is partitioned so that a solution can enter through the
one side and leave through the other. The catheters are
attached to a machine so that hot water can be propelled by
a compressor pump and returned to its source by a suction
pump. The water is raised to any desired temperature by an
electric heater and is accurately maintained or regulated by
a rheostat. Regulatory valves allow the pressure to be set
at one to three pounds. The heated solution never leaves
the catheter.
In this way dry heat is evenly radiated to adjacent and
contiguous structures through the entire length of the
auditory canal and Eustachian tube.
Treatment is begun at 112 to 115 degrees F. The temperature
is permitted to rise 1 degree F. each minute and a half until
it reaches 122 to 128 degrees F. This slow ascension in
temperature permits comfort to the patient and a slow
increase in circulation. Thus the body thermal system has
ample opportunity to adjust itself without destruction of
tissue cells. After reaching a well tolerated maximum
temperature, the treatment is maintained for fifteen to
twenty minutes. It is well to remember that each individual
will tolerate heat best at various levels. This detail must
not be overlooked. Great caution should be exercised in
starting the heat at a low enough temperature, raising it to
a temperature well borne by the patient, and maintained for
not too long a period. Experience with the individual
reaction to heat will dictate the modus operandi.
Heat thus applied produces a marked hypermia with the
corresponding dialation of the blood vessels. The blood and
lymph circulations are speeded up. With elevation in
temperature of the tissues, a leucocytosis supervenes,
resulting in a resorption of exudate and infiltrations,
destruction of bacteria, dissolution of pathological tissue,
a subsidence of congestion, a removal and outpouring of pus
and waste products - all resulting in a return to normalcy of
tissues.
The mechanical effect on the outlet of the Eustachian tube is
a flattening and widening of the orifice. This tends to
establish better drainage of the secretions of the mucous
membranes lining the middle ear and Eustachian tubes.
"Relieving the catarrhal condition and establishing better
drainage," produce the essential "equalization of middle ear
air pressure." This is essential in order that the tympanum
may be free to respond to the delicate ether vibrations set
up by the speaking voice.
B. Vibratory Resonance:-
The thermostatically prepared hearing mechanism as described
above is now ready for the next step in the therapy.
Ear phones leading from an apparatus are applied to the outer
ears. Before actual therapy is applied, the patient is
tested to determine the degree of impairment. This is
arrived at by "Charting" his residual hearing. He is asked
to indicate when he hears certain amplitudes at certain
frequencies. Thus the threshold of perception is noted on a
graph at various points. A line is made connecting such
points and a visual picture indicates the general type of
deafness. In the obstructive type, the threshold is a
straight line ascent or descent, reaching a higher peak with
the lower frequencies. In the chronic catarrhal type there
are peaks which abruptly rise and fall.
Each tone of the vocal range is tested at the various
frequencies by a stable stimulus of appreciable intensity and
amplification. The range of vibration is such that the most
delicate ear can hardly perceive the changing tones, or of
such amplification that the very hard of hearing can easily
hear the tones.
Oscillatory resonance is given the patient for therapeutic
stimulation. Individual tones or a series of changing tones
are applied. The volume or frequency is altered for the
individual patient as indicated by their graphic chart.
In order that the hard of hearing person can hear the given
tones, great amplitude of volume is used. This sets up a
mechanical vibratory stimulation to the mechanical machinery
of hearing and such stimulation is finally carried as nerve
impulses to the hearing center of the brain. Provided the
auditory nerve fibers have not been completely destroyed, the
repeated stimulation activates and resensitizes such nerve
fibers. After successive treatments, the threshold for
sound perception becomes lowered and less amplification is
required. Greater facility to carry afferent impulses by the
end organs of the auditory nerve is produced by carefully
applied and regulated oscillatory resonance. Thus a
rehabilitation of hearing is produced by applying such
variable sound vibrations, regulated as to volume and
frequency.
Where "head noises" are present, they are completely
dissipated. Improvement is marked and noted after several
treatments. This ensues when the frequencies applied
coincide or are greater than the existing head noises.
Regulated oscillatory resonance limbers and creates
flexibility of mobilized fixations. Stimulation of the
circulation and lymphatic channels are produced. There is a
revitalization and resensitization of the nerve ends and
fibers enabling afferent impulses to manifest themselves at a
lower threshold of reception.
Combined thermostatic and resonance treatment takes about
an hour. The average number of treatments is forty-two.
Patients hard of hearing for over forty years have been
cured. Children seem to respond most rapidly. Adults up to
the ages of 50 to 55 fall into the average class, while those
past middle age receive improvement less rapidly.
This new mode of therapy is an achievement in returning
hearing to the many afflicted. Hopelessness is no more. Its
results are definite and positive.
People suffering from impaired hearing seem to use that organ
of sound perception less and less until the original lesion
is further enhanced, hastening complete decay of the
apparatus from deteriorative disuse. It is but natural that
when the etiological factors are removed and the unused
hearing apparatus is once more stimulated and made accustomed
to the reception of stimuli that hearing will return.
In my opinion no case is hopeless. The diagnosis of the
specialist is not always positive for I have cured or caused
material improvement in so-called cases of nerve deafness and
otosclerosis. How to account for it is hard to explain.
Possibly the diagnosis was uncertain or difficult. It may be
that the nerve fibers had not been completely destroyed.
This paper has for its object the simple presentation of a
new curative treatment for deafness rather than a highly
scientific or technical dissertation. What must be kept in
mind is the improvement of the patient, uninfluenced by
preconceived theories, but rather the definite measured
improvement by an instrument of precision together with the
recovery noted by the patient himself.
1/18/36 GD's note to Miss [
954]: The Edgar Cayce readings
suggested the Elliot Machine: Also for sinus, mastoid,
antrum trouble, blindness, & - especially - after effects
from childbirth; also prostate & rectal disorders. See May
1934 Readers Digest "Young Doctor Heat", by DeKruiff. Write
Dr. Shorell for details.


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