But little success in the treatment of diseases of the upper respiratory passages and the ear can be attained while occlusion or partial occlusion of one or both nostrils exists. It is essential, therefore, that deflections of the septum nasi and other intranasal abnormalities be removed at the outset, so that the ingoing current of air may pass through the nasal chambers and be properly warmed and moistened therein. Physicians will not question the soundness of these conclusions, yet they too frequently let patients thus afflicted go the "rounds" without offering them advice and suggestions as to the necessity of primarily removing intranasal abnormalities for the ultimate success of the management of these cases. Mouth breathing, headache, epistaxis, sneezing, frontal neuralgic pains, insomnia and total or partial deafness are common symptoms of nasal obstruction. Chronic nasal catarrh and septal deformities go hand in hand. Classification —1, osseous; 2, cartilaginous; 3,