The tendency observable in modern laryngologic literature, to ascribe to the general system a closer etiologic relation with the nose and throat, must have one important effect—to call for a more general treatment of the upper respiratory tract.
Before the local propaganda had practically absorbed the attention of specialists in our line, the general or systemic means comprised in great measure the plan of treatment of nose and throat diseases. And now that localism has had full sway, it is to be expected that the general treatment should come more into vogue. Perhaps, if it were merely a return to former conditions, there would not be much call for a paper on, limitations in this regard. But we must not forget that during these years changes have taken place which have increased our knowledge tenfold and our range of instrumentation and manipulation a hundredfold; which have so added to the