out 565 kases treated for 1 Arptp..11 affections, diseases of the idale t.tr m ere found in 197. Of the N.Itole number. 131 had hypertrophy of 11.e third tonsil, of m 62 had aind hearing. White (Jour. Amer. NIt.t1 Assoe., Aug. 3, '89).
I/tailless found in 90 per cent. of chil dr( n having adenoids. A. Branner (Brit. Med. Jour., Sept. 13, '90).
Of 160 deaf-and-dumb patients, 57.5 I tr cent. had adenoid vegetations of the Itar.% nx. Wroblewski (Inter. klinische Eund., Oct. 11, IS, '91).
Of 415 young deaf-mutes, 79 were found to have adenoid vegetations of the vault, causing partial occlusion of the cavity or pressure upon the Eusta ehian openings. Arthur A. Bliss (Med. News, Nov. 19, '92).
Out of 500 cases, 304 were more or less deaf, while in 196 the hearing was normal. Of these 304, 22 wet e deaf in one ear only. The most common form of ear complication is undoubtedly Eu stachian obstruction, occasionally as sociated w ith the presence of free ex udation in the middle ear. In 9S cases there w ere, however, evidence of past or present middle-ear suppuration. In 25 instances earache was a prominent symptom. The hypertrophied pharyn geal tonsil probably acts (1) by causing obstruction of the Eustachian tube, (2) by interfering with the circulation [lym phatic or vascular] of the middle ear, and (3) by acting as a nidus of infec tion in suppurative eases. P. :ffeBride and A. Logan Turner (Edinburgh Med. Jour., May, '97).
Among 10S7 children, 138 mouth breathers were found, and in 114 of these adenoids IN ere the cause of the mouth breathing. On an average, among 1000 patients, there were 127 in whom adenoid growths required removal. Alfred Decker (Jour. of Laryn., etc., Apr.. 1900).
Blood sometimes appears in the mouth or on the bed-clothing during sleep; this is occasioned through the friability and vascularity of the growth, rupture of thc tissue being easily induced by slight mechanical interference either by the action of the soft palate on the tions or by friction between the growths themselves.
Case of a boy, aged 10 years, in whom Inematemesis was due to adenoid vege tations. The neoplasms were removed ith the finger-nail, and no hminorrhage has occurred since. II. Drinkwater
(Brit. Med. Jour., June 24, '93).
Case of same kind. P. Macleod Years ley (13rit. Med. Jour., July 22, '93). Laryngitis stridulus, or so-called "false croup" or spasm of the larynx, an tion suddenly manifesting itself some time after midnight and causing alarm, is mainly ascribable to naso-pharyngeal occlusion and buccal respiration. The larynx becomes dry and hypermmic, which in a neurotic individual produces reflex phenomena.
Among other reflex conditions refer able to post-nasal growths are choreiform movements of the soft palate accom panied by a peculiar clicking noise, ble at a considerable distance from the patient and occurring at intervals of one second. I witnessed a case of this char acter cured by a thorough removal of the naso-pharyngeal lymphoid mass. I also witnessed wryneck as a complication in three cases. Prolonged buccal breathing incident to retronasal obstruction may also lead to chronic enlargement of the faucial tonsils and prominence of the palatine arch.
In adults many symptoms characteriz ing the disease in childhood are present and, in a great measure, give rise ently to similar disturbances, among which chiefly to be noted are catarrhal states of the neighboring mucous mem branes, dry pharyngitis, and chronic naso-pharyngitis.
In 26S children examined in New York, 63, or 24 per cent., had adenoid vegetations, associated with which were 32, or 50 per cent., of enlarged tonsils, and 29, or 46 per cent., of some anterior nasal obstruction. Hopkins (Pacific Med. Jour., Sept., '92).
In 77 cases of adenoid vegetations the hard palate was normal in only 10 cases. In 67 cases there was some abnormality, and in 10 the palate exhibited signs of rickets. In the remaining 55 abnormal increase of the arch observed, a section through it forming either a, polygon or a Gothic arch. Gr6nbech (IIosp.-tid., No. 10, '93).
Three cases of torticollis due to ade noid vegetations and chronic hypertrophy of the nostrils, relieved by operations upon these tissues. A. J. Gillette (N. Y. :Med. Jour., Aug. 1, '96).