COMMENTS ON SADE'S. "PATHOLOGY AND PATHOGENESIS OF SEROUS OTITIS MEDIA"

To the Editor.—I very much enjoyed reading Dr. Sade's article on "Pathology and Pathogenesis of Serous Otitis Media" and believe his contribution in describing middle ear mucosal glands in human subjects is significant. His article, however, is somewhat of a paradox, in that while discussing the pathogenesis and pathology of "serous" otitis media, he commences to repeatedly demonstrate the presence of PAS positive mucous glands in several cases. There is no question that bona fide cases of serous otitis media do occur in which the middle ear effusion is yellow, transparent, and tends to clot after removal. We tend to see this more often in adults than in children. There also is no question that cases of middle ear effusion which could be described as mucous occur in adults as well as children. These "mucoid" ears often relate to adenoiditis in children and may occur in long-standing or intractable