To the Editor. —I was most interested in the letter you received from Dr. Victor Goodhill, (June 1972), concerning the article "Inner Ear Barotrauma"1 by Dr. Card Edmonds and myself.
These five cases, which we reported, were collected some 18 months or more ago now, and we were not aware of the reports which had appeared in the literature regarding rupture of the found window membrane. Nevertheless, we felt that there must be something like this occurring to produce these permanent changes in cochlear function, and we felt that sooner or later we would find another case which would merit exploration of the middle ear.
Although I live some 600 miles or so from the Naval School of Underwater Medicine, I had an arrangement whereby I was to be notified immediately when any case presented with sensorineural deafness following diving.
The papers by Dr. Victor Goodhill and Dr. Pullen