A case of secretory otitis media with implantation of a plastic tube into the middle ear is presented. The method used differs form that described by Armstrong1, as the tube is inserted under the drum and a skin flap adjacent to it, rather than through the drum. This method enables one to inspect the middle ear and should be less likely to result in a residual perforation and infection. The case history is of interest, because of the long duration of symptoms and the extended period of observation.
A boy, age 10 years, was first sen in October, 1954, with the complaint of tinninus and hearing loss in the right ear. Symptoms had been present since the patient had mononucleosis and pneumonia at age 5. One attack of otitis media occurred prior to a tonsillectomy at age