The opening chapters on examination are practical and concise, and the technic described coincides with the routine usually taught and practiced in this country. The importance of proper technic is made clear by illustrations and explanatory notes. In direct laryngoscopy and esophagoscopy Thompson advocates Killian's method under local anesthesia in adults, and complete general anesthesia for children, which has been the common method. We find, however, that children can usually be operated on by Killian's method to better advantage without general or complete anesthesia, and often without any anesthetic.
The chapters on treatment are prolific with good hints which quite agree with accepted experience. The paragraph on galvanocautery is valuable especially in advising antiseptic precautions. The use of heat or cold and rest as therapeutic measures and some timely words on cocain, its action, management of anesthesia and toxic effect, can be read with gain by all students. A practical