Case 1 Preoperative Diagnosis: Recurrent acute otitis media. Postoperative Diagnosis: Recurrent acute right otitis media and left acute otitis media, right serous otitis media. Operation Performed: Bilateral myringotomy with PE tube placement. Anesthesia: General. Indications: This is a 21-month-old female with a history of recurrent acute otitis media and at this time she presents for bilateral PE tube placement. Details of Procedure: The patient was taken to OR and underwent uneventful induction of anesthesia. The right ear was examined first. Small amount of cerumen was cleaned. There were obvious air-fluid levels and a diffuse mild negative pressure with mild retraction of pars tensa. The radial incision was made just anterior to the 6 o'clock position and a