r months of absolute
silence and a general antituberculous regime have failed of benefit.

_Galvanopuncture_ for laryngeal tuberculosis has yielded excellent
results in reducing the large pyriform edematous swellings of the
aryepiglottic folds when ulceration has not yet developed. Deep
punctures at nearly a white heat, made perpendicular to the surface,
are best. Care must be exercised not to injure the cricoarytenoid
joint. Fungating ulcerations may in some cases be made to cicatrize by
superficial cauterization. Excessive reactions sometimes follow, so
that a light application should be made at the first treatment.

_Congenital laryngeal stridor_ is produced by an exaggeration of the
infantile type of larynx. The epiglottis will be found long and
tapering, its lateral margins rolled backward so as to meet and form a
cylinder above. The upper edges of the aryepiglottic folds are
approximated, leaving a narrow chink. The lack of firmness in these
folds and the loose tissue in the posterior portion of the larynx,
favors the drawing inward of the laryngeal aperture by the inspiratory
blast. The vibration of the margins of this aperture produces the
inspiratory stridor. Diagnosis is quickly made by the inspection of
the larynx with the infant diagnostic laryngoscope. No anesthetic,
general or local, is needed. Stridorous respiration may also be due to
the presence of laryngeal papillomata, laryngeal spasm, thymic
compression, congenital web, or an abnormal inspiratory bulging into
the trachea of the posterior membranous tracheo-esophageal wall. The
term "congenital laryngeal stridor" should be limited to the first
described condition of exaggerated infantile larynx.

_Treatment of congenital laryngeal stridor_ should be directed to the
relief of dyspnea, and to increasing the nutrition and development of
the infant. The insertion of a bronchoscope will temporarily relieve
an urgent dyspneic attack precipitated by examination; but this rarely
happens if the examination is not unduly prolonged. Tracheotomy may be
needed to prevent asphyxia or exhaustion from loss of sleep; but very
few cases require anything but attention to nutrition and hygiene.
Recovery can be expected with development of the laryngeal structures.

_Congenital webs of the larynx_ require incision or excision, or
perhaps simply bouginage. Congenital goiter and congenital laryngeal
paralysis, both of which may cause stertorous breathing, are
considered