224 CLINICAL VKTKRINARY MEDICINE AND SURCIKRV. 



suspect paral}'sis of the phaiynx. Even when inflammatory symptoms 

 are relatively slight this paralysis may occur, as proved by man}- 

 recorded cases. During February last we had in hospital a five-year- 

 old mare in which pharyngeal paralysis occurred as a complication of 

 benign strangles. Cauterisation in points — the treatment usuall}' 

 recommended, and the daily administration of two and a half to eight 

 drachms of potassium iodide until signs of iodism appeared, gave no 

 beneficial result though twice repeated. Nor did greater success attend 

 the opening and washing out of the guttural pouches on both sides — 

 an operation which, however, has sometimes succeeded, and which 

 probably acts in a different way from cauterisation. 



1 thought of performing this operation in the case of the first horse. 

 but deferred interfering, always hoping for improvement. In this 

 animal, however, opening the guttural pouches could only have favoured 

 rupture of the retro-pharyngeal abscesses. Even supposing this had 

 occurred we should not have saved our patient. The gravest lesions — 

 those which proved fatal — occurred in the walls of the pharynx itself, 

 and in regard to them we could do nothing energetic or directly bene- 

 ficial. 



Nevertheless I have no hesitation in giving the following advice : 

 If in pharyngeal paralysis resulting from strangles, or from in- 

 flammatory sore throat of any character, the classical treatment fail, 

 one should before giving up the case as hopeless suggest opening the 

 guttural pouches — ^hyovertebrotomy. 



