380 TREATMENT OF NASAL GLEET BY TREPHINING THE S1NUSKS. 
to within a month of the time I saw him he had continued to 
work without any abnormal symptoms, till one day, having 
been put to somewhat harder work than usual, he suddenly 
stopped as if choked or suffocated. Being unable to con- 
tinue work he was taken to his stable, where a farrier ad- 
ministered some medicine and blistered the throat ; he was 
allowed to rest for some days, but when again subjected to his 
regular work all the former symptoms presented themselves 
as on the previous occasion. Again and again was he sub- 
mitted to the skill of the horse doctor, but as often as tried 
he as often failed, until the owner, tired of the trials, was 
persuaded to have him destroyed; but before doing so he, as 
before intimated, submitted him as a forlorn hope to your 
humble servant. I at once put him through his paces at a 
moderate speed for the purpose of w r itnessing the symptoms 
which had been so graphically described to me, but without 
detecting ought save a very slight defect in respiration. I 
here had him submitted to a more trying ordeal, when he 
stopped suddenly and exhibited symptoms of spasms of the 
glottis, almost falling down apparently nearly suffocated. 
Diagnosing the case to be one in which some defect existed 
in the nerves or muscles surrounding the larynx, which on 
too great pressure from the volume of air produced the distress, 
I resolved at once to try tracheotomy upon my patient. This 
was accordingly done, and one of Arnold's tubes inserted. 
The next day he was sent to his usual work on the line, and 
although put to the hardest trial no symptoms of his former 
spasm supervened, and he has now been in w r ork for upwards of 
three months, working in comparative ease, breathing in part 
through the tube to the comfort of himself and the delight of 
his owner. This case serves to demonstrate that a little 
physiological knowledge may enable its possessor to sometimes 
supersede the pretensions of the uneducated. 
TREATMENT OF NASAL GLEET BY TREPHINING 
THE SINUSES. 
By Salisbury Price, M.R.C.V.S., Kennington Cross, 
London. 
Thinking that an account of trephining might interest 
many of your readers, I beg to hand you the following 
particulars : 
In the early part of December, 1869, I was called to see a 
