Abstract
To the Editor: —The spirit of the review was a most friendly and candid one. Some of the points raised by Dr. Dowling rather surprised me, but if I am mistaken, I am always glad to stand corrected. I stated in the article in the Archives: It is possible that the signs of an inner ear involvement might be caused by a firm plug of cerumen which is pressing very firmly against the drum membrane, with pressure on the ossicles and the footplate of the stapes, as in a positive Gelle test. After removal of the cerumen, of course, all signs of inner ear involvement should be gone. However, the presence of obstruction in the external auditory canal could not very well produce eustachian tube involvement so far as I can see; as a rule, this is most likely to arise by way of the pharynx or nasopharynx. Now, it
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