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The development of auditory behavior (or what the anatomists and physiologists have to explain).

OBJECTIVE: Infants' and children's performance in detecting and discriminating between sounds is often poorer than that of adults. Behavioral immaturity often coexists with mature-looking morphology and physiological responses from the peripheral and brain stem structures that limit performance among adults. One interpretation of this pattern of results is that "hearing" is mature but some unnamed central process is immature. DESIGN: The approach to the problem taken here is to view auditory behavior as the process to be explained and physiological or anatomical measurements as giving us clues about the underlying processes. The development of four aspects of hearing-frequency resolution, detection, temporal resolution, and intensity resolution-is reviewed in this paper, and new data addressing these topics are presented. RESULTS: Frequency resolution, detection, temporal resolution, and intensity resolution all undergo development during infancy and childhood, although the mechanisms underlying development vary across capacity and developmental period. CONCLUSIONS: A coherent argument can be made that both primary auditory pathway maturation and maturation of specific central processes are involved in development. Both types of maturation continue into childhood, and both types of maturation can influence hearing directly.

Age Factors↗

Alessandro Benedetti, a fifteenth century anatomist and surgeon: his role in the history of nasal reconstruction.

Alessandro Benedetti (about 1445-1525) was Professor of Anatomy and Surgery at Padua University. He became famous for the construction of the first anatomical theater ever built, where he personally used to carry out dissections. He published articles on many subjects, first of all on anatomy. His work Anatomice, sive Historia Corporis Humani (Anatomy, or the History of the Human Body), first printed in Venice in 1502, was very popular and influential at that time. Of the many topics treated in the book, one is of special interest to plastic surgeons, i.e., the description of nasal reconstruction by means of a skin flap taken from the arm. The procedure is the same as the one the Branca family practiced in Sicily in the middle of fifteenth century. It is well known that the Brancas kept secret the operation and never published it. Hence, Alessandro Benedetti played an important role in the history of plastic surgery because he first reported in the Western surgical literature the procedure of nasal repair, later called the "Italian" method, almost 100 years before Tagliacozzi's publication in 1597.

Anatomy↗

William Cheselden: anatomist, surgeon, and medical illustrator.

William Cheselden was Great Britain's foremost surgeon/scientist in the first half of the 18th century. Cheselden directly challenged the Company of Barber-Surgeons' exclusive right to control dissection in London by being the first to conduct a regular series of anatomy lectures and demonstrations outside of the Company's Hall. He incorporated his lecture syllabus into a handbook of anatomy, The Anatomy of the Humane Body, which was used by students for nearly 100 years. Cheselden also wrote the text and drew the illustrations for a majestic atlas of comparative osteology, the Osteographia, or the Anatomy of the Bones. Cheselden used his superior knowledge of anatomy to reduce the morbidity and mortality associated with perineal lithotomy, one of the few operations possible in his era. Sagacious and pragmatic, Cheselden recognized that the enlightened practice of surgery beginning to take root in 18th-century London could flourish only under an autonomous body of surgeons. Cheselden used his personal funds and political skills to urge Parliament to pass legislation for the dissolution of the combined Company of Barber-Surgeons and the establishment of separate and distinct Surgeons' and Barbers' Companies. After disjoinder of the two groups on May 2, 1745, Cheselden served as one of the Wardens of the new Company of Surgeons--a predecessor of the Royal College of Surgeons of England. In 1746, Cheselden, who helped design the first Surgeons' Hall, served as the Company's Master.

Anatomy↗