The cases collected by these authors show a decrease in the death ratio in the total excision,--29 per cent as against 36 per cent in the Kraus tables.

The mortality in the partial operation is increased, being 38 per cent as opposed to 25 per cent.

Cases reported as free from the disease before the lapse of three years are of little value, except in that they diminish, by so much, the operative death-rate.

Of 180 laryngectomies for carcinoma prior to January 1, 1892, 72, or 40 per cent, died as a result of the operation; 51 of the remaining 108 had recurrence during the first year, and 11, or ten per cent of the survivors, were free from relapse three or more years after operation.

In 77 cases of partial laryngectomy for cancer, 26, or 33 per cent, died during the first two months; of the remaining 51, seven cases, or 13 per cent, are reported as free from the disease three or more years after the operation.
Injuries destroying great portions of the face or jaw, but not causing death, are seldom seen, except on the battle-field, and it is to military surgery that we must look for the most striking instances of this kind.