The microbiology of 12, 174 symptomatic ears presenting over an eingt-year period to one hospital was examined in detail. 1, 061 cases of fungal infection were found. The incidence and pattern of these fungi and the accompanying bacteria, in case of mixed infection, do not appear to have been affected by the widespread use of powerful topically-applied autibiotic/steroid preparations over more than two decades. Otomycosis remains an uncommon, often overlooked but important cause of morbidity in a temperate climate.

Abstract A series of myringoplasties is presented and those cases that did not heal perfect are discussed.

In order to evaluate whether some changes in the technique could further improve the results, another series incorporating these changes was operated after and the results are presented. Differences in healing and post-operative hearing between the two groups of patients are evaluated.

Abstract In microsurgery of the middle ear using argon laser, heat is produced on the sensorineural structures adjacent to the irradiated bones.

Thermal gradients following laser applications have been measured by means of special thermocouples.

The footplate was perforated by a 50 msec. ray applied both at 380 m Watt and at 460 m Watt. The maximum temperature increase registered in the labyrinthine spaces was respectively 2oc. and 3.5oC.

Coagulation of the promontory mucosa was performed using 100 msec. impulses at 200 m Watt. At the end of a series of 12 applications the temperature increase at the level of the basal coil was 1.4oc.

From the above results the authors conclude the no damage is induced during laser microsurgery and that, considering the power and time values relative to impulses, the use of laser in routine clinical practice should be relatively safe.

A case of peripheral facial palsy which appeared 8 days following ipsilateral stapedectomy, was diagnosed as Bell's palsy.

We stress the uncommon coincidence of the two events and the important implications in the treatment of a palsy appearing after middle ear surgery.

Bell's palsy is an unusual but real possibility which should be borne in mind before deciding on extended surgical exploration.

Abstract The present case appears to be the first recorded in which BIPP sensitivity led to a delayed post-operative facial palsy.

Bilateral peritonsillar abscesses are rare and often not diagnosed until tonsillectomy. As the condition may create diagnostic problems and serious complications, a case history is presented. The importance of rapid otorhinolaryngological examination and treatment is stressed.