Reference is made to the procedures for treatment of the chronically discharging ear, treated unsuccessfully with mastoidectomy. According to the medical histories of 20 patients there was a return of symptoms possibly related to upper respiratory tract infection or the passage of water into the ear. The surgical procedure devised by J. H. T. Rambo and used satisfactorily by the author consists of the introduction of a large tongue of temporalis muscle into the combined middle ear and mastoid cavity following the radical operation. This, with skin flaps developed from the lining of the external canal, effects a primary closure. There has been the added value of improved blood supply.