332. Under an anesthetic the margin of the soft palate is seized, midway between the anterior pillar and the uvula, with vulsellum forceps; a cut on each side, meeting above, is then made with scissors for half an inch, and the piece removed. THORNE has done this in two instances with beneficial results. ARTHUR CHEATLE.

BOOK NOTICES.

VII.-Patologia e terapia del orecchio e delle prime vie aeree (otologia, rinologia, laringologia). By Giuseppe GraDENIGO, Professor, University of Turin. Turin: S. Lattes & Co., 1903.

This volume, of 968 octavo pages, just published, comprises the lectures of the distinguished author, collected and edited by his assistant, Dr. E. S. CASSANELLO, specialist for ear, nose, and throat diseases in Montevideo. The special literature is followed up to the beginning of the year 1903. The reader may easily keep acquainted with the subsequent literature, from the two general reviews published in German: (1) Internationales Centralblatt für Laryngologie, by SEMON, of London-August Hirschwald, Berlin, publisher; and (2) Internat. Centralblatt für Ohrenheilkunde, by BRIEGER and GRADENIGO-A. Barth, Leipzig, publisher.

GENERAL PART, PP. 1-228.

The first lecture demonstrates that the ear, nose, and throat form anatomically, functionally, and technically a kindred field of work. The second describes in a very instructive manner the functions of the upper air-passages in regard to their pathology, as organs of defence, and of adaptation of their air-current to respiration, and sensory actions- taste, smell, and hearing, - by means of warming, moistening, and sterilizing the tissues. This chapter is illustrated by several very good text-figures, by W. CALAMIDA, MORITZ SCHMIDT, and WALDEYER, whose annulus lymphaticus is presented, slightly schematic. The third and fourth lectures are devoted to the etiology and symptomatology of the diseases of the upper air-passages. The fifth describes the normal condition of the parts, with many good engravings; the

sixth, the instruments and methods of the objective examination. Lectures VII. and VIII.: functional examination of the nose (Zwaardemaker's olfactometer), etc., the pharynx and the larynx (technique of the examination of taste). The examination of hearing is presented with great detail. Lecture IX.: medical treatment; syringing nose and ear. General and local medical treatment. Lecture X.: the bloody operations on nose, pharynx, and larynx. Abuse of endonasal surgery; danger of infection. Lecture XI.: bloody operations on the ear. Lecture XII.: application of electricity for diagnostic and therapeutic purposes. A very detailed exposition of this interesting subject.

SPECIAL PART.

In Lecture XIII. the acute inflammation of the nose, pharynx, and larynx is described, side by side, pointing out their general characters and their differences. Lecture XIV.: acute otitis m. pur. Lecture XV.: the simple chronic catarrhal affections of the upper air-passages. Different clinical types. Hypertrophied tonsils and their removal (Fahnstock, 1833, Mackenzie, Ruaut; knife or scissors when tonsil is drawn with forceps in front of their niche between the arches of the palate; hemorrhage, especially in grown people, best avoided by removing tonsils in fragments). Lecture XVI.: ozæna. Lecture XVII.: hypertrophy of the pharyngeal tonsil. "In the majority of cases, digital palpation will, with saving time, let you recognize the presence of the hypertrophy." "The third [!] finger of the right hand is introduced under well-known precautions, and the naso-pharyngeal cavity is explored with great practical advantage; not only the existence of the hypertrophy is recognized, but also its degree and consistence." Lecture XVIII.: otit. med. sicca, affections of the tube. Lecture XIX.: Ot. m. p. c. Good description of ossiculectomy. Lecture XX.: the mastoid and intracranial complications of otitides. The author says to his audience, he has to be very brief in this most important subject of his lectures; he will have to limit himself to give them a general idea of these frequent and most dreaded complications, so that they would be able to recognize and cure them. Lecture XXI.: inflammations of the nasal sinuses (max., front., ethmoid., sphen.). A good presentation. Lecture XXII.: diseases of the peripheric apparatuses of special sense: olfaction, taste, hearing, and equilibration. Labyrinthitis. Ménière's syndrome, hysteria, etc.

The remaining ten lectures treat of different conditions which constitute interesting reading and useful knowledge, though they do not lend themselves readily to systematic presentation. Lecture XXIII.: disturbances of general sensibility; reflex phenomena of the nose, pharynx, larynx, and ear. Lecture XXIV.: disturbances of motility of the velum palatinum and larynx; paralysis of the recurrent nerves of the larynx, and other nerves. Lecture XXV.: syphilis, and Lecture XXVI.: tuberculosis of the upper air-passages and the ear. Lecture XXVII.: neoplasms. Lecture XXVIII.: diphtheria and other infectious diseases. Lecture XXIX.: stenosis and foreign bodies. Tracheotomy and intubation. Lecture XXX.: hemorrhage and traumatisms. Lecture XXXI.: external nose and ear. Congenital malformations. Lecture XXXII.: infirmities of hearing and speech: deafmutism and stammering.

The large book of Gradenigo should not be judged with the same rigorousness as a systematic text-book of which Politzer's is a standard, but as a series of essays on a well-defined group of diseases, which the adept as well as the beginner will read with delight, style and typography being excellent.

H. KNAPP.

VIII. First Principles of Otology, a text-book for medical students. By ALBERT H. BUCK, M.D., Clinical Professor of Diseases of the Ear, College of Physicians and Surgeons, Medical Department of Columbia University. Second edition, New York, William Wood & Co., 1903.

In 1899 the first edition was prefaced, that the students of medicine at the College of Physicians and Surgeons of New York could not in their overburdened curriculum, even in the four years' course, master the contents of a middle-sized text-book of otology, but they should have a guide-book at hand that would aid them in making themselves familiar with the primary facts and theories which by lectures, dissecting, diagnostic and clinical instruction, would enable them to recognize and treat understandingly the ear diseases which usually come before the general practitioner, which is equivalent to the amount of knowledge required for their graduation. The little book, having shown itself subservient to these purposes, now appeals in a revised edition also to the students of other colleges.

The book has 216 small-octavo pages, is well written, contains

a number of illustrations, and can be recommended to students who endeavor to acquire in their college course the foundation for an all-round scientific and practical medical education.

H. K.

IX.-A Thesaurus of Medical Words and Phrases, by WILFRED M. BARTON, M.D., Assistant Professor of Therapeutics, etc., Medical Department of Georgetown University; and WALTER A. WELLS, M.D., Professor, Washington Postgraduate School. W. B. Saunders & Co., 1903. Flexible leather, $2.50.

This is an elegantly printed and bound book, full of information and very useful: every word used, every derivative and compound are accompanied by their versions in Latin, Greek, or other languages. It contains all the words a medical student or a medical writer need know; and the explanations supplied by an equivalent in French, Latin, or Greek, printed in conspicuous antique type, are all one can desire. It is a pleasure to handle this book; the reviewer has never seen a handier and better gottenup dictionary. H. KNAPP.

MISCELLANEOUS NEWS.

APPOINTMENTS.

V. CozzoLINO, professore extraordinario since 1894, was appointed professore ordinario of otology and rhinology at the University of Naples, Italy, in June, 1902.

The honorary professor in ordinary, Dr. HERMANN SCHWARTZE, privy medical councillor, has lately been appointed professor ordinarius of otology at the University of Halle. This is not only a well-deserved honor for the eminent otologist, but an official recognition of the importance of aural surgery in the curriculum of the student of medicine. The day cannot be far distant when otology will have its place in the final examination of the German candidate for his license to practise. At last: "To merit its crown!"

Dr. ALFRED DENKER, in Hagen, Westphalia, has been appointed professor of otology, rhinology, and laryngology, as well as executive surgeon of the clinic and dispensary at the University of Erlangen, Bavaria, succeeding the late distinguished Professor KIESSELBACH.