Human skin emits infrared energy that can be transformed to temperature. The tympanic membrane which is deep in the external auditory canal has a rich blood supply and has less chance of energy loss by evaporation, convection, conduction and infrared emission. The tympanic membrane is thus thought to be an appropriate site for measuring body core temperature. We used an infrared thermometer to measure the tympanic membrane temperature of 65 in-patients. There was a good correlation between the tympanic membrane temperature and the oral temperature (r=0.919), and the tympanic membrane temperature did not change by the effect of room temperature. We also studied how acute otitis media would affect the tympanic membrane temperature, and failed to find a significant difference between the infected and uninfected ears. So the tympanic thermometer cannot be a useful ancillary tool for diagnosing acute otitis media. It is an expeditious, non-invasive and accurate thermome ter for measurement of the core temperature.