Environmental tobacco smoke (secondhand smoke) is a hearth hazard expe
rienced by one half to two thirds of the nation's children younger tha
n 5 years of age. Although the role of environmental tobacco smoke in
the genesis of pulmonary disease in children has been increasingly rec
ognized, somewhat less attention has been paid to the role of environm
ental tobacco smoke in the development of childhood otitis. This prese
ntation will review current data regarding environmental tobacco smoke
, with a particular emphasis on its effects on the ears and eustachian
tube. Current American Academy of Otolaryngology-Head and Neck Surger
y Foundation, Inc. education efforts will also be discussed.