||You see, gentlemen, that we always come in a dreary circle, again to our starting point, viz. the fact that the profession, up to the present time, have not understood how to examine the ears, such being the case, we must find in this fact, a reasonable ground for the general unsatisfactory condition of the treatment of ear afflictions.
(Anton Von Troltsch 1864 The diseases of the ear, their diagnosis and treatment. A textbook of aural surgery translated and edited by D.B. St John Roosa, William Wood & Co., New York.)