In spite of an extensive literature on the treatment of poliomyelitis, few publications have been devoted to the care and handling of the cases of acute and frequently fatal poliomyelitis with bulbar involvement. Most of the reports on the treatment of this disease have concerned themselves primarily with the neurologic residuals resulting from damage to the spinal cord. Although the spinal form of poliomyelitis often does leave extensive residual weakness of many muscle groups and requires extensive therapy, still this type of involvement is rarely fatal and hence does not present the acute problems that so often accompany the bulbar form of the disease. It is this latter type of poliomyelitis that has for years defied medical handling and has resulted in the significant mortality rate in this disease. It is the purpose of this discussion to report the results of our experiences in the treatment of bulbar poliomyelitis with