Laryngology and Otology

was marked, and gave the impression of a large vessel. In the three boys' cases?aged respectively six, ten and eleven years? nasal obstruction, with enlarged tonsils and adenoids, existed. In one of the boys the pulsation was bilateral and very marked, communicating a heaving impulse to the left tonsil, which was hypertrophied. Connal reminds us that most observers have ascribed the pulsation to the ascending pharyngeal artery, but that Schmidt and Kelly attribute the abnormal pulsation to the internal carotid artery. Connal believes that these large pulsating vessels are sometimes the ascending pharyngeal, and sometimes