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JACK L. LEVINE, MD
Washington, DC

Arch Otolaryngol. 1985;111(6):416.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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 . . . [Full Text PDF of this Article]

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