The operation for removing adenoids requires in children, a general anesthetic. In adults, a local anesthetic is used by some operators. I have found it best to first break the adenoid mass away from the side walls of the pharynx digitally. A LaForce or Gradle adenotome is then used to remove the adenoid mass. If either of these instruments is properly used it will always remove the greater part of the adenoid mass without undue trauma or injury to any of the pharyngeal structures. Curets should never be used because they almost never remove the adenoid mass properly, but they usually do injure the pharynx. Many cases of pharyngeal adhesions, Eustachian tube occlusion and nasopharyngitis result from direct injury caused by curets. After the adenoid mass has been removed the finger is inserted into the pharynx and any adenoid growths in the posterior nares are removed. The pharyngeal fossæ are also thoroughly freed from adenoid tissue and adhesions and the orifices of the pharyngeal portions of the tubes are gently dilated. This method insures complete removal of all excessive adenoid tissue, and normal functions of the nasopharynx. Adenoids thus removed do not return. After the surgical work has been completed the nasopharyngeal tract should be thoroughly irrigated with hot salt mixture solution. This thoroughly cleanses the membranes, hastens healing, prevents hemorrhage and avoids post-operative infection. Irrigation of the nasopharynx should be continued for some days or until all evidences of inflammation have ceased. The pharynx should then be examined to be sure that no adhesions have developed from inflammation, but if the operation is carefully done, complications will never result. Diseases of the Oropharynx Acute Pharyngitis Acute inflammations of the pharynx alone or in common with inflammations of other parts of the nasopharyngeal tract are common. This disease is most common as a result of the acute infections affecting the nose and throat. =Etiology.=—The predisposing causes are focal infections of the nasopharynx, such as tonsillitis, sinuitis, etc. Deficient nutrition or anemia of the pharynx or systemic anemia are common causes. Lesions of the cervical, upper thoracic and hyoid are common predisposing causes. Undue exposure of the neck in susceptible persons or too much or too tight clothing about the neck may also predispose to inflammations of the pharynx. The exciting causes are the acute infections, colds and focal infections. Perhaps the most common exciting cause is tonsillitis, acute or chronic. =Symptoms and Diagnosis.=—The characteristic dryness of the pharynx, pain and persistent coughing are diagnostic. Upon direct examination, the reddened, swollen appearance of the pharynx and posterior pillars can be seen.