once thoroughly removed the disease seldom
returns.

ELONGATION OF THE UVULA.

Chronic enlargement, or elongation of the uvula or soft palate, as shown
at _B_ in Fig. 17, may arise from the same causes as enlargement of the
tonsils. It subjects the individual to a great deal of annoyance by
dropping into or irritating the throat. It causes tickling and frequent
desire to clear the throat, also change, weakness and loss of voice, and
often gives rise to a very persistent and aggravating cough.
Constriction of the throat, cough and difficult breathing are more
prominent symptoms in complicated cases.

TREATMENT. The treatment already laid down for enlarged tonsils, with
which affection, elongation of the uvula is so often associated, is
generally effectual. When it has existed for a long time, and does not
yield to this treatment it may be removed by any competent surgeon.

* * * * *

CHRONIC LARYNGITIS.

This is of much more frequent occurrence than the acute form, and is
often associated with tubercular affections, and constitutional
syphilis. It is characterized by an inflammatory condition, ulceration,
or hardening of the mucous membrane of the larynx, most frequently the
latter. There is also a chronic form, known as _follicular laryngitis_,
or _clergymen's sore throat_, to which public speakers are subject.

THE CAUSES of chronic laryngitis are various, as prolonged use of the
vocal organs in reading or speaking; using them too long on one pitch or
key, without regard to their modulation; improper treatment of acute
diseases of the throat; neglected nasal catarrh; the inordinate use of
mercury; syphilis; repeated colds which directly cause sore throat,
injuries, etc. It is also frequently due to tubercular deposits, and in
these cases it generally terminates in consumption.

SYMPTOMS. The affection often comes on insidiously. There is soreness of
the throat, noticeable particularly when speaking, and immediately
thereafter; a "raw" and constricted feeling, leading to frequent
attempts to clear the throat, in order to relieve the uneasy sensation.
The voice becomes altered, hoarse, and husky, and there is a slight,
peculiar cough, with but little expectoration. At first, the matter
expectorated is mucus, but as the disease advances, and ulceration
progresses, it becomes muco-purulent, perhaps lumpy, bloody, or is
almost wholly pure pus. The voice becomes more and mo