Injuries to the head should be of peculiar interest to the otologist, because in so many one of the divisions of the ear apparatus is affected. As early as 1905, Passow1 stated that in severe injuries to the skull, the ear practically never remains intact. Often only a mild force of impact produces damage in the labyrinth. In just how large a proportion of cases of injury to the head, ear symptoms develop it is difficult to determine, as the patients are usually first seen by the general physician or surgeon, and are only referred to the otologist for examination at some later date if ear trouble is suspected. However, Mygind2 found otoscopic changes in 50 per cent of 142 patients with injuries of the head, consecutively examined, and traumatic vestibular disease in 33.3 per cent. About two thirds of the patients were examined before the