=Treatment.=—Complete surgical removal of all abnormal growths, adhesions, etc. as described under the treatment of chronic non-suppurative otitis media and this followed by thorough irrigation and other methods of local treatment described above are efficient. The successful treatment of this disease requires time. There has been a partial or, in some cases, almost a complete loss of the normal functions of the nerve reflex mechanism of these parts, peripheral reflex inefficiency and this must be restored. Efficient and long continued treatment of the lesions commonly found in the cervical and upper thoracic regions will do much to restore these normal functions, but this alone without the surgical treatment will never effect a permanent cure. Neither will the surgery and local treatment alone effect a cure. The whole treatment is required. Adenoids Adenoids are the hypertrophied lymphoid tissue of the nasopharynx. They occur commonly in children, as a result of acute inflammations. Possibly the suckling process of the child produces a partial vacuum of the epipharynx and thus causes excessive blood supply to the part and therefore excessive growth of these soft tissues. Adenoids, however, are not confined to children but frequently occur in adults. In all cases they are a source of much annoyance and often the cause of acute and chronic disease. =Symptoms and Diagnosis.=—Mouth breathing, head colds, partial deafness, etc. are the common symptoms. The flattened nose, the high arch of the hard palate and the stupid appearance of the face are diagnostic. By direct palpation to the nasopharynx the nature and extent of the adenoid mass can be determined and this is the best method of diagnosis. =Treatment.=—Many methods of non-surgical treatment have been employed, but there is nothing as satisfactory as complete surgical removal. Adenoid tissue has no known function different from that of other lymphoid tissue and there is always sufficient to perform any necessary function without excess of adenoid growth. The excessive adenoid growth is in every case a detriment to normal development, because it impairs nasal respiration and usually causes chronic nasopharyngitis and thus reduces resistance against all diseases of childhood. There is therefore, no excuse, much less a reason, why excessive adenoid growths should not be removed surgically, provided it is properly and thoroughly done.