Patients with advanced cancer of the larynx, complaining of pain in one or both ears, are not uncommonly seen at the Bronchoscopic Clinic. Careful examination of the ears reveals no pathologic basis for the otalgia complained of. Because of its association with laryngeal cancer and pain radiating upward along the corresponding side of the neck, we have concluded that, in the presence of a normal ear, it must be of reflex origin from the larynx. Patients complain bitterly of this distressing symptom, and resort to morphin or codein is necessary to give relief. Remembering the remarkable results obtained by Dr. Greenfield Sluder, who cocainized the nasal ganglion in earache of inflammatory middle disease origin and reflex earache after tonsillectomy, Dr. Chevalier Jackson suggested that this method be tried in these cases of reflex earache of laryngeal origin. Following is a brief synopsis of the records of two of the cases,