Frank Bigby, aged 5 years, was brought to me on June 11, 1886, suffering with dysphonia and severe attacks of dyspnœa. I had no difficulty in making a laryngoscopic examination, and found his trouble was due to the presence of several small growths of the larynx, located especially on the left cord and ventricular band near the commissure, and also at the inter-arytenoid space. After two or three sittings to accustom the larynx to the contact of the forceps, I succeeded in removing the obstructions and cauterizing their seats with chromic acid. In October he was brought back because of the return of dyspnœa, and I found the growths had not only recurred, but also had extended to the right side. I also noticed a small protuberance on the lower face of the epiglottis on the right side as if a similar neoplasm were developing there. October 10, I operated