n tube.

_Treatment._--In early and mild cases, the tonsils should be painted
with glycerine of tannic acid, or some other astringent, and an
antiseptic mouth-wash, or spray of hydrogen peroxide, should be used
several times a day. When the condition is interfering with the
general health or with the development of the chest, or when there is
deafness or disturbance of sleep, the tonsils should be removed.

#Calculi# composed of phosphate or carbonate of lime are sometimes
formed in the crypts of enlarged tonsils; as a rule they are about the
size of a pea, but they may be much larger. They cause a sharp
stabbing pain on swallowing, and sometimes a persistent hacking cough.
They are easily shelled out through a small incision into the tonsil.

#Syphilis.#--The fauces and tonsils are occasionally the seat of a
hard chancre, and the condition may simulate malignant disease. The
submaxillary glands, however, become enlarged sooner and increase more
rapidly than in cancer, and they are tender. The secondary
manifestations of the disease usually appear before the chancre has
healed.

Early in secondary syphilis, mucous patches and superficial ulcers are
frequently met with. Later, severe phagedaenic ulceration sometimes
occurs, especially in alcoholic subjects, and may rapidly eat through
the soft palate, leading to marked deformity from contraction when
cicatrisation takes place.

In the tertiary stage, a diffuse gummatous infiltration occurs, and is
liable to be followed by ulceration, which spreads to the pharyngeal
wall and soft palate, and, by causing cicatricial contraction and
adhesions, may lead to narrowing or even complete occlusion of the
communication between the pharynx and the naso-pharynx.

#Tuberculous# lesions of the fauces and tonsils are almost invariably
secondary to tubercle of the larynx or lungs, or to lupus of the face
or naso-pharynx. They are attended with more pain than syphilitic
lesions; are less prone to spread to the palate and cause perforation;
but, when cicatrisation takes place, they are equally liable to
produce contraction and deformity.

#Tumours.#--_Innocent tumours_--fibroma, lipoma, myoma--are
comparatively rare. When sessile they cause inconvenience only by
their bulk; when pedunculated they may hang down into the pharynx and
interfere with swallowing and breathing. They may be shelled out, or
ligated at the base and cut off, according to circumstances.

_Malignant Disease.