geon's knife in a case of this
nature.

As in the treatment of other pathological growths in the upper air
passages the rhinoscope is indispensable. The parts can only be brought
into the view of the operator by means of this instrument and sets of
mirrors to reflect light on all sides of the deformed and hidden parts.

By our operation both nasal cavities are restored to their normal size
and contour (compare Figs. 14, 15), unhealthy and diseased tissues are
removed, and free nasal respiration established.

All treatments are carried out under strict aseptic precautions, thus
reducing the danger from absorption of poisonous secretions to the
minimum. By our skillful and ingenious management of these cases we
never have had a single patient manifest any serious symptoms after
operation. In such cases we consider this the only safe, practical, and
permanent cure. Every year hundreds pass out of existence the victims of
incurable disease of the air-passages resulting from morbid nasal
conditions, who might be saved by proper and timely treatment.

* * * * *

PHARYNGITIS AND POST-NASAL CATARRH.

[Illustration: Fig. 16.
Use of the Post-nasal Syringe in the treatment
of Post-nasal Catarrh.

_A_. Tongue. _B_. Epiglottis. _C_. Soft palate. _D_. Anterior opening of
the nostril.
_E,E,E._ Turbinated bodies. _F_. Junction of the nasal passage and
throat. _G_. Diseased and roughened mucous membrane. _H_. Throat or
Pharynx. _I, I_. Interior
of nasal passage.]

Simple chronic pharyngitis seldom exists alone and uncomplicated; most
cases being the result of previous existing disease of the nasal or
post-nasal passages. Many cases are associated with hypertrophy, or
enlargement, of the tonsils. Usually the disease is located in the upper
part of the pharynx, or throat, behind and above the uvula and soft
palate, and is thus hidden from view when looking into the throat
through the mouth. When not associated with nasal catarrh the common
symptoms are dropping of tenacious mucous in the throat, causing a
constant desire to hawk and spit; sense of dryness in this region; cough
and expectoration on rising in the morning, which is due to the
irritability of the throat, and may invade the lower air-passages. The
throat may be studded with red and thickened patches of its mucous
membrane. Respiration may be embarrassed, the voice affected and the
general health gradually decline. The membrane