Correspondence pertaining to material published in the JOURNAL will be published, if found suitable, as space permits. Submit double-spaced copy clearly marked "For publication" and signed by all authors; references should conform to Journal format; maximum length: 500 words. Copyright assignment signed by all authors is required. The Editor reserves the right to edit such letters, which should be received within six weeks of publication of the Journal article in question.
Sir.—In the article "Tympanometry in Acute Otitis Media: Prognostic Implications," which appeared in the March issue of the Journal (1981;135:233-235), Dr Lampe and his colleagues stated that they were unaware of previous reports concerning the presence of high-pressure-peak tympanograms in children with acute otitis media. We have previously reported on this finding,1 which correlates well with a bulging, fiery red, usually painful tympanic membrane (TM). On pneumo-otoscopy, the TM can be indented, with moderate positive pressure, and