The use of Per-Lee ventilation tubes in the management of refractory secretory otitis media

: Per-Lee ventilation tubes have been used successfully for long-term ventilation in 35 ears, and none have been extruded although the maximum follow-up period is now in excess of 56 months. It is suggested that the benefits of this type of tube outweight any technical difficulty in insertion and that, if possible, the flange should be left untrimmed and the tube itself placed anterior to the malleus.