The following case is thought to be of sufficient interest to justify a brief report:
L. H., aged 14, is a student in the Pennsylvania Institution for the Blind in Philadelphia. When 4½ years of age, following scarlet fever, he lost the sight of both eyes and developed a double chronic suppurative otitis media, which in time destroyed the hearing in his right ear and so impaired that of the left that the loud-speaking voice could be heard only at a few inches' distance. He has been under my care for the last five years, during which time the discharge of pus has not materially decreased; for during vacation time in summer he is accustomed to go to his home in the country, where he gets no treatment or care at all and so loses what improvement he has made during the winter.
A radical mastoid was proposed several times,