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This monograph continues to maintain the high level of excellence that is to be found in all the American Lectures in Otolaryngology, Audiology, and Broncho-Esophagology Series. The author discusses his subject matter in an authoritative, concise, and readily understood language. The contents are systematically arranged as follows: (1) introduction; (2) mechanics of respiratory obstruction; (3) anoxia in clinical states; (4) acute bulbar poliomyelitis; (5) tracheotomy, and (6) tracheotomy in other diseases with obstruction. There is a brief but comprehensive bibliography at the end of the book. Since the subject matter is gaining increasing importance and the author's viewpoints are worthy of attention, this book is recommended.