Allergy in otolaryngology

Otolaryngologic allergy concerns itself greatly with the teachings and influence of the late French Hansel, M.D., and his principles of optimal dosage. Later Herbert Rinkel, M.D., was to contribute the titration technique which allowed for a more systematic administration of antigens. Other areas such as provocative testing for foods as well as more controversial areas were later developed. These included cytotoxic testing as well as emphasis on clinical ecology techniques. The otolaryngologist has been equipped to handle all phases of nasal problems including allergy by 1. management of obvious surgical problems, 2. symptomatic approach with medical methods, 3. environmental controls when indicated and 4. immunotherapy. The last method includes titration as well as radioimmunoassay techniques (RAST). The author's conjecture regarding the future direction of allergy management from the otolaryngologist's view point is also given. Personal observations and anecdotes of some of the pioneers in the field are included.