—I have just seen an article in the Journal of January 28, by Dr. H. Gradle, of Chicago, on "Hypertrophy of the Pharyngeal Tonsil," in which he describes various instruments for the removal of such growths. He makes no mention, however, nor do I see it mentioned in any work that I have consulted, of a simple device that has served me in several instances with much efficiency. I make use of one of Sims' sharp uterine curettes, the stem having been bent at a right angle about 1½ inches from the end. With the aid of a self-retaining uvula and palate retractor, which I also devised (See N. Y. Medical Record, Jan. 14, 1888), any portion of the posterior pharyngeal wall can be curetted away,or any small growth removed from the posterior nasal or naso-pharyngeal space with ease, Jarvis' curved snare being used for the larger growths.