IN this little book the writer has aimed at being ex tremely elementary. He has tried to anticipate the difficulties which the student or young practitioner is likely to meet with when he begins to examine cases Of disease Of the throat, nose, and ear, and, as far as possible, to simplify them. In the case of each region a sketch of the normal topography and appearances is first given, and this is followed by a brief outline of' the principal alterations from the normal which the student may expect to meet with in the course of his work. A few practical hints on methods of local treatment have been added. In teaching the elements of any subject some repe tition is unavoidable. This is no doubt tedious to the expert reader, but in a book which is only intended for beginners, it is, in the writer's opinion, necessary. He believes thoroughly in the teaching methods of Mr. Bixby,' as immortalized by Mark Twain in his Mississippi Pilot.'