Since the origin of this method of treatment, there has been much comment on its value and many have tried or at least they thought they tried it with unfavorable results. The causes of failure are, attempting treatment in cases impossible of cure, or poor diagnosis, improper technic of operator or incomplete operative procedure and inefficient supportive treatment. It must be understood that not all cases of otitis media even in the beginning stages require the above method of treatment or will be benefited by it. Those cases which have resulted from other causes than acute pharyngitis seldom require such radical methods of treatment. In every case, the cause must be found and consistent treatment given. In my experience, the radical method of treatment has not been found necessary in more than twenty per cent of cases of chronic otitis media. In the other cases the treatment consists of removing sources of focal infection (about forty per cent) and normalizing nasopharyngeal reflexes by osteopathic and local treatment (about forty per cent). In all cases, the treatment must be complete. To remove thoroughly all obstruction from the epipharynx and leave a source of focal infection in the tonsils will accomplish little, or to remove carefully all pharyngeal obstruction and all sources of focal infection will not restore normal functions of the middle ear structures if the osteopathic lesions and gastro-intestinal perversions are neglected. Surgery in itself, even though carefully and thoroughly done, is not efficient treatment and this is why the medical specialists fail in this disease. After the necessary surgery has been done, then normal tone must be restored to the various tissues involved. Normal reflex mechanisms must be reestablished and this can be done by thorough and efficient osteopathic corrective work and the proper local treatment directly to the structures affected. Meniere’s Symptom Complex This is a form of catarrhal deafness with all the characteristic pathology of the first or second stage, but in which, due probably to sudden tubal occlusion, there results a marked variation in the intralabyrinthine pressure and there are, therefore, the symptoms of conduction deafness combined with labyrinthine involvement somewhat resembling Meniere’s disease. There is dizziness or even vertigo, with head noises, but not the marked prostration and nausea which characterizes Meniere’s disease. =Treatment.=—The treatment is the same as in the first stages of catarrhal deafness and the prognosis is always good. The labyrinthine symptoms are usually completely relieved as soon as the middle ear is ventilated. Diseases of the Inner Ear