stick of wood extracted from the vocal cords of a child of
ten, and a few other similar instances are recorded.

The Medical Press and Circular finds in an Indian contemporary some
curious instances of misapplied ingenuity on the part of certain
habitual criminals in that country. The discovery on a prisoner of a
heavy leaden bullet about 3/4 inch in diameter led to an inquiry as to
the object to which it was applied. It was ascertained that it served
to aid in the formation of a pouch-like recess at the base of the
epiglottis. The ball is allowed to slide down to the desired position,
and it is retained there for about half an hour at a time. This
operation is repeated many times daily until a pouch the desired size
results, in which criminals contrive to secrete jewels, money, etc., in
such a way as to defy the most careful search, and without interfering
in any way with speech or respiration. Upward of 20 prisoners at
Calcutta were found to be provided with this pouch-formation. The
resources of the professional malingerer are exceedingly varied, and
testify to no small amount of cunning. The taking of internal
irritants is very common, but would-be in-patients very frequently
overshoot the mark and render recovery impossible. Castor-oil seeds,
croton beans, and sundry other agents are employed with this object in
view, and the medical officers of Indian prisons have to be continually
on the lookout for artificially induced diseases that baffle diagnosis
and resist treatment. Army surgeons are not altogether unfamiliar with
these tricks, but compared with the artful Hindoos the British soldier
is a mere child in such matters.

Excision of the larynx has found its chief indication in carcinoma, but
has been employed in sarcoma, polyps, tuberculosis, enchondroma,
stenosis, and necrosis. Whatever the procedure chosen for the
operation, preliminary tracheotomy is a prerequisite. It should be made
well below the isthmus of the thyroid gland, and from three to fifteen
days before the laryngectomy. This affords time for the lungs to become
accustomed to the new manner of breathing, and the trachea becomes
fixed to the anterior wall of the neck.

Powers and White have gathered 69 cases of either total or partial
extirpation of the larynx, to which the 240 cases collected and
analyzed by Eugene Kraus, in 1890, have been added. The histories of
six new cases are given. Of the 309 operations, 101, or 32 per cent of
the pa