ence of any
infective trouble.

(89) _Wounds of the pharynx._--_Entry_ (Lee-Metford),
immediately below the tip of right mastoid process; the bullet
traversed the neck, entering the pharynx close to the right
tonsil, crossed the cavity of the pharynx and the mouth,
emerging through the left cheek. Great swelling of the fauces
and dysphagia persisted for some days after the injury, and
there was considerable haemorrhage.

Infection of the posterior portion of the track from the
pharynx resulted, and suppuration continued for some weeks: a
small sequestrum eventually needed to be removed from the tip
of the transverse process of the atlas.

(90) _Entry_ (Mauser), through mouth; the bullet pierced the
soft palate and the posterior wall of the pharynx, and passed
out between the transverse process of atlas and the occiput. No
serious pharyngeal symptoms.

(91) _Entry_ (Mauser), through the mouth, knocking out the left
upper canine and bicuspid teeth. Perforation of the soft palate
just to the right of the base of the uvula and the posterior
wall of the pharynx; _exit_, 1-1/2 inch internal to and 1/2 an
inch below the tip of the right mastoid process. Haemorrhage
persisted for half an hour, and the patient could not swallow
solids for a week. Great occipital neuralgia followed the
wound.

_Wounds of the larynx._--I saw only one wound of the larynx (see No. 10,
p. 135). In this instance the thyroid cartilage was wounded on either
side at the level of the Pomum Adami. Transitory haemorrhage and signs of
oedema were the only signs referable to the wound, but in addition the
bullet contused the left vagus and gave rise to temporary laryngeal
paralysis. The same course was observed in a second case of perforation
of the larynx of which I was told.

_Wounds of the trachea._--The two cases recounted below are the only
tracheal injuries I met with; in one the oesophagus was also
implicated. This patient died from mediastinal emphysema. In the second
case the wide development of emphysema was prevented by the early
introduction of a tracheotomy tube.

(92) _Entry_ (Mauser), on the outer side of the right arm,
3-1/2 inches below the acromion; _exit_, 3 inches below the tip
of the left mastoid process, through the sterno-mastoid. Thirty
six hours later there was very free haemorrhage into the