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To the Editor.—The authors are appreciative of Dr. Stool's comments and support, and are in agreement with him concerning the importance of an adequate history, and an adequate period of observation prior to surgery. While our major concern in this study was case-finding for communicative disorders, rather than surgery, there was certainly no intention to suggest that adequate observation and as complete a history as is possible should not be included in any follow-up of these children. Unfortunately, it was not feasible to maintain, as a part of our unfunded study, any systematic followup of the recommendations made by the physicians as part of the otologic screenings. However, the children's center does assume responsibility for proper placement of all children under its jurisdiction.
The otologic screening results of each of the 225 children were included as permanent parts of their records. The findings were called to the attention of all