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Previous Volume 345:465-466 August 9, 2001 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Clinicians pondering the negative results of Paradise et al. (April 19 issue)¹ should note that 82 percent of the children had unilateral or discontinuous middle-ear effusions. Although the timing of insertion of tympanostomy tubes had no effect on developmental outcomes, the laterality and continuity of the effusions (63 percent were unilateral, and 66 percent were discontinuous) would not be expected to cause developmental delays in otherwise healthy children. Furthermore, the ability to detect differences is blunted when 18 percent of the children randomly assigned to early tube placement never received tympanostomy tubes and 48 percent received the . . . [Full Text of this Article]

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