The Principles and Practice of Surgery. By John Ashurst, Jr., M. D., Professor of Surgery in the University of Pennsylvania, Surgeon to the Episcopal Hospital, etc. Second Edition. Enlarged and thoroughly revised. With 542 Illustrations. Philadelphia: Henry C. Lea, 1878. The Physicians' Pocket Day-Book. By C. Henri Leonard, M. D. Accommodates daily charges for twenty or forty families weekly. Price, $1. Detroit: C. H. Leonard, 1878. Clinical Lectures on Diseases of Bone. By C. Macnamara, Fel. Cal. Univ., Surgeon to the Westminster Hospital, Surgeon-Major H. M. East Indian Medical Service, etc. London: Macinillan & Co., 1878. Pp. 298. Transactions of the Obstetrical Society of London. Vol. XIX. For the year 1877. With a List of Officers, Fellows, etc. London: Longmans, Green & Co., 1878. On the Surgery of the Face. By Francis Mason, F. R. C. S., Surgeon and Lecturer on Anatomy at St. Thomas's Hospital, etc. With One Hundred Illustrations. London: J. & A. Churchill, 1878. Annual Address delivered before the American Academy of Medicine at Easton, Pennsylvania. By Frank H. Hamilton, M. D., of New York. Published by order of the Academy. Case of Poisoning by Oil of Chenopodium. By Thomas R. Brown, M. D. Reprint from the "Maryland Medical Journal" for November, 1878. The Eradication of Syphilis and Crime by the Extirpation, in that Class, of the Procreative Power. A Paper read before the Maine Medical Association. By George F. French, M. D., of Portland. Otitis Media Suppurativa. A Paper read before the Maine Medical Association, June 11, 1878. By E. E. Holt, M. D., of Portland. Instituted The Transactions of the American Medical Association. 1847. Vol. XXVIII. Philadelphia: Printed for the Association. and A Manual of Physical Diagnosis. By Francis Delafield, M. D., Charles F. Stillman, M. D. New York: William Wood & Co., 1878. Transactions of the Thirty-third Annual Meeting of the Ohio State Medical Society, held at Columbus, May 14, 15, and 16, 1878. The Testimony of Medical Experts. Annual Address of W. H. Philips, M. D., Kenton, Ohio, retiring President Ohio State Medical Society. Official Report of Dr. E. O. Brown, Physician in Charge of the Yellow Fever Hospital, Louisville, Kentucky, 1878. Reports on the Progress of Medicine. QUARTERLY REPORT ON LARYNGOLOGY. No. XVI. BY GEORGE M. LEFFERTS, M. D., CLINICAL PROFESSOR OF LARYNGOSCOPY AND DISEASES OF THE THROAT, COLLEGE OF PHYSICIANS AND SURGEONS, N. Y.; LARYNGOSCOPIC SURGEON TO ST. LUKE'S HOSPITAL, ETC. BIBLIOGRAPHY. 1. BordenhavE.-Ou Tuberculous Laryngitis. 424, 1878. "Thèse de Paris," No. 2. BROWNE.-Forms for the taking of Throat and Ear Cases. London: Baillière, Tindall & Cox. 1878. 3. COHEN.-A Case of Cyst on the Vocal Cord removed with Forceps. "Phil. Med. and Surg. Rep.," September 21, 1878. 4. CHIAMENTI.-A Case of Foreign Body in the Larynx. für Chir.," No. 41, 1878. "Centralblatt "American Bi 5. COMANDRÉ.-On Aphonia. "Lyon Méd.," July 14, 1878. 6. COOMES.-Remarks on Naso-Pharyngeal Catarrh. Weekly," June 8, 1878. 7. CRIPPS.-On Hæmorrhage following Stab-Wounds of the Throat and Pharynx. "Centralblatt für Chir.," No. 34, 1878. 8. CREUS-Y-MANSO.-On the Treatment of Naso-Pharyngeal Polypi. "Month. Abst. Med. Sci.," October, 1878. 9. CORNIL.-On the Histology of Mucous Patches on the Tonsils. "Le Progrès Méd.," August 10, 1878. 10. DUBRIEF.-On Chronic Inflammation of the Follicles of the Posterior Nares and its Treatment by Means of the Naso-Pharyngeal Douche. "Thèse de Paris," July 30, 1878. 11. ETCHEBARNE.-On Membranoid Occlusion of the Glottis of Syphilitic Origin. "Thèse de Paris," August 7, 1878. 12. ENGLEMANN.-The Hystero-Neuroses of the Pharynx, Larynx, and of the Bronchi. Reprint from Vol. II. "Gynecological Trans.," 1878. แ "Thèse de Paris," No. 53, 13. FOLLENFANT.-On Nervous Aphonia. 1878. 14. FOULIS.-Treatment of Chronic Pharyngitis. "Lyon Méd.,” July 21, 1878. 15. FISCHER.-A New Catheter for washing out the Nasal Fossa. tralblatt für Chir.," No. 34, 1878. "Cen 16. FOULIS.-Note on the Excision of Tumors of the Palate and Fauces. "Brit. Med. Journ.," October 12, 1878. 17. GASQUET.-Note on a Case of Laryngeal Vertigo. "The Practitioner," August, 1878. 18. GARRETSON.-On Tracheotomy and Thyrotomy for the Removal of Tumor of the Larynx. "Phila. Med. Times," October 12, 1878. 19. GALLI.-Aphonia, from a Papillomatous Growth on the Left Vocal Cord. Case. "Gaz. Méd. Ital. Lombardia," October 19, 1878. 20. GOTTSTEIN.-On Ozæna and a Simple Method of treating it. lin klin. Wochensch.," September 9, 1878. "Ber 21. GUETERBOCK.-On a Case of Dermoid Cyst of the Floor of the Mouth. "Arch. für klin. Chir.," Bd. xxii., Heft 4, 1878. 22. HEINZE. The Laryngeal Phthisis; based on Examinations made in the Pathological Institute at Leipzig. Brochure with plates. Leipzig, 1878. 23. HARTMAN.-Laryngological Periscope. "Maryland Med. Journal," November, 1878. 24. HARTMANN.-On Empyema of the Frontal Sinuses. "Deut. Archiv für klin. Med.," p. 531, 1877. 25. HARDY.-Case of Chancre of the Tonsil. “ Gaz. des Hộp.,” No. 105, 1878. 26. HERMANN. A Case of Phlegmonous Angina. Ulceration of the Internal Carotid; Hæmorrhage; Ligature of the Common Carotid; Cure. "La France Méd.," October 12, 1878. 27. HIRSCHFIELD.-On Affections of the Tonsil. "Wiener med. Presse," No. 41, 1878. 28. JONES.-Tracheotomy in Syphilitic Disease of the Larynx. "N. Y. Med. Record," November 16, 1878. 29. JOHNSON.-A Lecture on Foreign Bodies in the Air-Passages. “The Lancet," October 12-19, 1878. 30. KRISHABER.-A Contribution to the Study of the Respiratory Disturbances in the Syphilitic Laryngopathies. "Ann. des Mal. de l'Oreille et du Larynx," September 1, 1878. 31. KRISHABER.—A Case of Suffocative Goitre; Inter-crico-thyroid Laryngotomy; Sounding and Dilatation of the Constricted Trachea. “ Gaz. des Hộp.,” No. 119, 1878. 32. Kосн.-Laryngeal Stenosis following Typhoid Fever; a Study of Laryngo-Typhus. Article III. "Ann. des Mal. de l'Oreille et du Larynx," November, 1878. 33. Kосн.-A Case of Cicatricial Occlusion of the Left Posterior Naris. "Ann. des Mal. de l'Oreille et du Larynx," September 1, 1878. 34. KRIEG. Spontaneous Laryngeal Fistula in a Case of Laryngeal Perichondritis. "Arch. für path. Anat. u. Phys.," t. lxxii., p. 92, 1878. 35. LAMALLERÉE.-Stenosis of the Larynx following Syphilitic Necrosis of the Cricoid Cartilage. "Ann. des Mal. de l'Oreille et du Larynx," November, 1878. 36. LEROUX.-Glossitis, etc., produced by the Sting of a Viper. des Mal. de l'Oreille et du Larynx," November 1, 1878. "Ann. 37. LABOULBÈNE.-On Cartilaginous Tumors or Chondromes of the Trachea. “ Gaz. des Hộp.,” No. 96, 1878. 38. MCCOLLOUGH.-A Case of Fracture of the Cartilages of the Larynx. "Phila. Med. and Surg. Rep.," October 26, 1878. 39. MARELLE.—A Contribution to the Study of Laryngeal Cancer. "Thèse de Paris," August 7, 1878. 40. MASSEI.-A Contribution to the Study of the Laryngeal Neuroses. "Il Morgagni," April, 1878. 41. MARGARY. — Chirurgia Laryngoscopica. "Gaz. delle Cliniche,' 'No. 3, 1878. 42. PELAN.-A Clinical Study of Laryngeal Phthisis. "Thèse de Paris," No. 225, 1878. 43. PAYNEAU.-On Auscultation of the Voice."Thèse de Paris,” August 7, 1878. 44. PORTER.-Report on Diseases of the Respiratory Organs. "St. Louis Med. and Surg. Journal," November, 1878. 45. PINDER.-On Angina Scorbutica. "Wiener med. Wochensch.," No. 39, 1878. 46. QUENN.-Tuberculous Ulceration of the Palatine Mucous Membrane; Perforation of the Velum. "La France Méd.," No. 85, 1878. 47. RIBEMONT.-A New Laryngeal Insufflator. "Bull. Gén. de Thérap.," August 15, 1878. 48. ROBINSON.-A Case of Epithelial Cancer of the Larynx; the Value of Tracheotomy as a Palliative Procedure. "N. Y. Med. Record," November 2, 1878. 49. RENZONE.-On the Treatment of Ozæna. "Il Morgagni," May, 1878. 50. Rüdinger.—On the Anatomo-Topographical Distribution of Connective Tissue in the Soft Palate and Larynx. "Ber. der Münchener Naturforsch.-Vers.," 1877, p. 340. 51. Stetter.—On Foreign Bodies in the Larynx. "Centralblatt für Chir.," No. 41, 1878. 52. Schroetter.-On the Treatment of Laryngeal Stenosis. med. Blätter," No. 3, 4, 1878. "Wiener 53. SCHNITZLER.-On Laryngoscopy and Rhinoscopy, and their Use in Practice. "Wiener Klinik," Heft 10, October, 1878. 54. SEILER.-Cases of Tumor in the Larynx. "N. Y. Med. Record," November 16, 1878. 55. SEE.-On the Caliber of the Trachea and Bronchia. "Bull. de l'Ac. de Méd.," 2e Série, t. vii., No. 17, 1878. 56. SAMONDÉS.-A Period of Arrest in the Progress of Naso-Pharyngeal Polypi. "Thèse de Paris," 1878. 57. SCHROETTER.-Tracheal Stenosis due to Esophageal Cancer. natsschr. für Ohrenheilkunde," August, 1878. "Mo 58. TIFFANY.-Removal of a Naso-Pharyngeal Polypus by the Temporary Depression of both Upper Jaws. "Trans. of the Med. and Surg. Faculty of the State of Maryland," 1878. 59. VINCENT.-Adeno-Sarcomatous Tumor of the Velum. "Lyon Méd.," April 21, 1878. 60. VOLTOLINI.-On a New and Simple Method of operating for Laryngeal Polypus. "Monatsschr. für Ohrenheilkunde," November 8, 1878. 61. WAGNER.—A Paper on Intra-Laryngeal Growths. "Ohio Med. and Surg. Journal," 1878. Reprint. 62. WHISTLER.-Lectures on Syphilis of the Larynx. "Med. Times and Gaz.," September 21, September 28, October 5, November 9, 1878. 63. WALTON.-The Function of the Epiglottis in Deglutition and Phonation. "The Jour. of Physiology," September 25, 1878. 2. These forms for note-taking of throat cases have been specially prepared by Mr. Browne, for the purpose of securing uniformity of method and completeness of information in all cases of sufficient interest to require detailed accounts. The blanks, if fully filled out, will certainly meet both requirements, and will therefore be a useful guide and assistance to those unversed in the taking of clinical histories. To the experienced, and for those specially who are obliged to see and treat a large number of cases daily, the forms will be practically useless, as they will, in the first place, not take the time required to fill them out; and, secondly, will prefer to write down the history of the case, as they can easily do, from the patient's lips, and in a form at once available for future presentation in the medical journals, if it be desirable to publish it. If the blank be used, the history of a case will needs be entirely rewritten, for it furnishes but skeleton notes, very complete it is true, but still in a fragmentary style. Mr. Browne has taken a step in the right direction, and one that is to be applauded, when he endeavors by any means to insure the systematic registration-which naturally implies careful, perhaps increased, clinical observation-and study of all cases and their utilization for the good of the profession. 4. The report of a case in which a boy drew into his larynx the seed of a water-melon. After remaining in situ thirty-eight days it was coughed out. During its sojourn the patient suffered continually from dyspnoea, with occasional attacks of laryngeal spasm. No effort seems to have been made to remove the foreign body. 5. Comandré's patient was in the first stage of phthisis when he was attacked by complete aphonia. The larynx showed no lesion whatever beyond a slight reddening of the mucous membrane. Under the thermal treatment, continued forty days, his general condition improved, but the aphonia was not relieved. He left content, and during the following winter improvement began to manifest itself in his voice. This continued for four or five months, till the voice entirely regained its normal volume and tone. This case would show that very often the beneficial effects of the thermal treatment upon consumptives are not apparent till some time after their employment, a fact which has been observed by Dr. Cazenave de la Roche of the waters of Bonne. 7. Cupp's article treats mainly of the question of ligature of the external carotid artery on account of profuse arterial hæmorrhage from stab-wounds in the region of the angle of the jaw, or hæmorrhage from the mouth, especially from the neighborhood of the tonsils; from carcinoma of the tongue, of the cavity of the mouth, or on account of secondary hæmorrhage after operations in these localities. Formerly the common carotid was, as a rule, the artery ligated; but statistics inform us that, unfortunately, more than 50 per cent. of the cases operated upon die, and of these more than 30 per cent. presented serious brain symptoms; in a further 30 per cent. the operation was unsuccessful, as a fresh hæmorrhage followed it. Statistics give us the information likewise that the internal carotid is but seldom injured, usually some branch of the external carotid, or the artery itself. The fear that ligation of the external carotid would be followed by secondary hæmorrhage has not been realized. In the discussion following the above paper Holmes reported a case in which, through laceration of the tonsil, an opening into the internal carotid artery was suspected. In such an instance were a tonsillar branch of the external carotid wounded it naturally followed that ligature of the external carotid should be performed. Backer called attention to his case of ligature of the cominon carotid on account of wound in the neighborhood of the tonsil. At the post-mortem examination an opening was found in the ascending pharyngeal artery. Here the ligature of the external carotid would have been useless. 8. In a pamphlet devoted to the subject of the treatment of nasopharyngeal polypi, by Dr. D. Juan Creus-y-Manso, of Madrid, he gives the details of the symptoms and treatment of a formidable case of nasopharyngeal polypus, in which he performed ablation of the upper jaw. The hæmorrhage appears to have been unusually great, and the case terminated fatally on the eighth day. He takes the opportunity of reviewing the treatment of these cases, and the conclusions at which he arrives are: 1. That the so-called naso-pharyngeal polypi, which grow from the base of the cranium, are in reality fibromas, and ought so to be called. 2. They not only invade the pharyngeal and nasal cavities, but they make their way into other adjoining cavities through the apertures normally existing, into which they penetrate after the fashion of a wedge. 3. They produce very serious hæmorrhages and symptoms depending on their increase of volume, leading to disturbance of important functions. 4. The cavity of the cranium itself is not free from their attacks, and after making their way through the bony walls they may occasion immense losses of substance, without revealing their presence by any active symptoms. 5. It has not been shown that they cease to increase as the patients pass from youth to adult age, though they are most common in |