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Dear Sir :
—In The Journal of October 15 there was published a letter from Dr. Enfield concerning the faucial method of introducing the Eustachian catheter. The doctor cauterized the Eustachian tube per fauces because the nasal septum was so deflected as to render the introduction of the catheter through the inferior meatus impracticable. It did not seem to occur to him, and I have observed that it does not to many others, to catheterize through the opposite nostril, to the advantage of which the deflection has taken place. This can be accomplished in the majority of cases, and obviates the necessity of introducing the catheter through the mouth and fauces. Deflected septa and hypertrophied turbinated bodies are very common in adults, and often constrict the inferior meatus to such a degree as to make it very difficult to insert the catheter of ordinary calibre. In such cases the smallest silver