Abstract
The loss of function of the abductor muscles of the larynx is a most serious and crippling condition. The fact that an adequate intake of air could be established by means of a tracheotomy tube was established many years ago. This procedure eliminated the necessity of working for each breath of air. It allowed the patient considerable latitude in regard to normal exercise but did not permit him to resume a wholly normal existence. The introduction of the valved tracheotomy tube was a step forward in that the defect could be disguised in a number of ways, but it did not relieve the patient of the worry, care and annoyance of a mechanical gadget. A certain number of patients with bilateral posticus paralysis have existed without the advantage of an adequate intake of air, which could have been obtained by means of a tracheotomy tube. This does not detract from
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