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A consideration or discussion of chronic rhinopharyngeal disease must be limited to one of its scientific phases under the various classifications so voluminously outlined in the special literature, namely, nasal obstruction. I shall not discuss a highly specialized surgical technic, but some of the practical problems encountered in a long and constant daily contact with the various manifestations of chronic nose and throat disease.
While the success of treatment must depend largely on diagnosis, operative skill, technic and after-care, too much attention can hardly be given to the psychologic phase of the subject.
The diagnosis of all chronic rhinopharyngeal disease from the standpoint of the patient is catarrh, tonsillitis, chronic cold or among the more intelligent, sinus trouble. A vastly increasing number of people select their specialist on a self-satisfied classification of their disease. It seems to me, therefore, of considerable importance that in a scientific determination of successful