children it is nearly always so. The exciting cause in tl em is, as a rule, adenoid vegetations of the pharynx or, as they are commonly called, Post Nasal Growths. In a few it is tonsilitis, rhinitis or pharyngitis. The frequency with which these cases of post nasal growths came under my observation startled me at first. In Burdwan I operated on over thirty cases in less than five months, but t...