Objective

disease; and in one, both tympanic membranes were normal. Myringotomy confirmed the otoscopic findings. Follow-up examination of the three infants with the four apparently normal ears revealed that all subsequently became diseased. Control studies of a group of infants of similar age without cleft palate revealed that 22% had middle ear disease. Follow-up of the cleft palate patient through the infant period has not been reported.