To the Editor.—I am writing this letter in response to the article written by Gundersen et al.1
I have been a privately practicing otolaryngologist since 1947. During this period, I have treated a large number of patients with middle ear problems and have never felt the need to place ventilating tubes in any of my patients.
The care I render my patients is as follows:
The most important thing is to keep the nasal passages clean—especially in younger children who are not capable of correctly blowing their nose.
I will physically treat these patients in my office by using a modified Proetz treatment of clearing the nasal passages, and then politzerizing the eustachian tubes.
In addition, I usually prescribe antihistamines for these children if no active infection is present. If infection is present, an antibiotic, preferably penicillin, is given.
Usually, within several treatments I am able to keep
LEVINE JL. Ventilating Tubes. Arch Otolaryngol. 1985;111(6):416. doi:10.1001/archotol.1985.00800080102018
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