CHRONIC PHARYNGITIS. 



molars of darker colour than the others attracted attention, but there 

 was no caries, or inflammation of the gums, and some other cause had 

 to be sought. On pressing down the tongue with a spatula and moving 

 it from side to side a cord was noticed in the space between the tongue 

 and gums, the centre portion surrounding the base of the tongue, and 

 the ends traversing the pharynx and entering the oesophagus. It was 

 seized with the fingers and removed. The appearance it presented is 

 shown by Fig. 31. 



This cord measured 13 inches, the loop alone being about 8 

 inches in length. Its free end formed an irregular mass the size 

 of a man's little finger, in which were entangled some fragments of 

 shavings. 



The loop had slipped under the tongue, and been caught on the 

 fraenum linguae, the free portion passing backwards and entering the 

 pharynx. It could not be swallowed, and could only have been expelled 

 by vomiting, which, however, did not seem to have occurred. 



Scarcely had the cord been removed than the animal began to eat. 

 On returning to its kennel it soon cleared out its feeding trough. 



In spite of the stomatitis which had occurred, recovery followed 

 promptly, and the animal was able to return home on the 3rd December. 



CHRONIC PHARYNGITIS— DOUBLE HYOVERTEBROTOMY (OPENING 

 OF THE GUTTURAL POUCHES). 



40. A fifteen-year-old gelding. Entered hospital on the 30th June, 

 1896. Had been left at Alfort to be treated for pharyngitis in 

 December, 1895, and been removed before complete recovery. A 

 slight discharge from both nostrils had continued, and after some time 

 increased in quantity. 



On returning to hospital this horse was in rather thin condition ; 

 appetite was normal, but swallowing difficult. A muco-purulent 

 discharge containing fragments of food ran from both nostrils, and part 

 of the drinking water, which was at first mixed with muco-pus, returned 

 by the same channel. Violent attacks of coughing occasionally 

 occurred. The throat was neither painful nor swollen. The parotid 

 region appeared normal. It was difficult to produce coughing by 

 pressing on the larynx. The submaxillary glands contained two small 

 hard multilobular masses. The chief functions were regular. The 

 lungs revealed nothing abnormal. 



On the 4th July the guttural pouch of either side was opened and a 

 mass of gauze saturated with dilute tincture of iodine was passed to act 

 as a drain. 



Up to the 25th July antiseptic injections were made daily and fresh 

 strips of gauze saturated with iodine solution were passed. After that 

 time drainage was stopped. 



The discharge and difficulty in swallowing gradually diminished. 

 On the 28th the animal was almost completely cured, and returned 

 home. Trifling disturbance remained for a time, but finally dis- 

 appeared. 



