e natural folds of the face about the nose,
lips, and cheeks. The face has an elongated appearance and the expression
is vacant, listless, or even stupid. The nose is narrow and pinched, from
long continued inaction of the wings of the nose (alae nasi). The root of
the nose may be flat and broad. When the disease sets in during early
childhood, the palate may become high arched. If the disease continues
beyond second teething, the arch of the palate becomes higher and the top
of the arch more pointed. The upper jaw elongates and this often causes
the front teeth to project far beyond the corresponding teeth in the lower
jaw. The high arched palate is often observed to be associated with a
deflected partition (septum) in the nose.

The speech is affected in a characteristic way; it acquires a dead
character. There is inability to pronounce the nasal consonant sounds; m,
n, and ng and the l, r, and th sounds are changed. Some backwardness in
learning to articulate is often noticed.

Deafness is frequently present, varying in degree, transient and
persistent. Attacks of earache are common and also running of the ears.
The ear troubles often arise from the extension of catarrh from the
nose-pharynx through the eustachian tubes to the middle ear. Sometimes the
adenoids block the entrance to the tubes. The ventilation of the middle
ear may be impeded. Dr. Ball, of London, England, says: "Ear troubles in
children are undoubtedly, in the vast majority of cases, dependent upon
the presence of adenoid vegetation" (growths).

Children with adenoids are very liable to colds in the head, which
aggravate all the symptoms, and in the slighter forms of the disease the
symptoms may hardly be noticeable, except when the child is suffering from
a cold.

[10 MOTHERS' REMEDIES]

Chronic catarrh is often caused by adenoids. A chronic pus discharge often
develops, especially in children. There is often a half-pus discharge
trickling over the posterior wall of the pharynx from the nose-pharynx.
And yet some children with adenoids never have any discharge from the
nose. There may be more or less dribbling of saliva from the mouth,
especially in young children, and this is usually worse during sleep.
Headache is not uncommon when these growths persist into adult life: they
continue to give rise to most of the symptoms just described, although
these symptoms may be less marked because of the relatively larger size of
the nose-pharynx. The ol