To the Editor:—
Doctor Dunkelberger's comment seems to be more critical than factual. It would be interesting to know the exact history of the disastrous cases he refers to and to be told precisely how many are represented in the "so many" and "so much" he mentions. The studies referred to in my letter do present such data as must be studied in order that any conclusions be considered valid.Suffice to say that I know of but one permanent perforation in my practice, and that child was treated elsewhere before the family moved into our community. This has also been the experience of my pediatric colleagues. A retrospective questionnaire study (unpublished) of several hundred school children in our county showed no correlation between hearing impairment and the mode of treatment of otitis media among the children.