Diseases of the Tongue

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Cassell and Company, Limited, 1900 - Tongue - 475 pages
 

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Page 349 - It is better not to apply any treatment in cases of occult cancer; for, if treated, the patients die quickly; but if not treated, they hold out for a long time.
Page 116 - ... explained, namely, that the sides and edges of the organ are the most frequent seats of the disease. The pipe or cigar of the smoker is, with rare exceptions, so held in the mouth that the impact of its point falls not upon the tip, dorsum, root or under surface, but upon the sides and edges. " * * * " In the most typical instances it appears about the middle of the front part of the dorsum, but on one side of the middle line, just where the end of the tobacco pipe rests, or where the stream...
Page 374 - Paget, with an ordinary pair of straight scissors. 4. The muscles attached to the base of the tongue are then cut across by a series of successive short snips of the scissors, until the entire tongue is separated on the plane of the inferior border of the lower jaw, and as far back as the safety of the epiglottis will permit. 5. The lingual, or any other arteries requiring torsion, are twisted as divided.
Page 375 - ... respiration be interfered with at any time. Traction on this ligature of itself arrests hemorrhage and makes it an easy matter to secure any bleeding vessel. 6. Wash the wound with an antiseptic solution. 7. Paint the wound with iodoform styptic varnish. The varnish is made by substituting for the alcohol ordinarily used in the preparation of Friar's balsam a saturated solution of iodoform in ether 9 volumes, and turpentine 1 volume. After-treatment. — Encourage the patient to sit up and move...
Page 342 - ... have seen many cases in which carcinomatous ulcers have been treated as syphilitic ulcers by some of the best clinical surgeons in London, not because they felt sure the disease was syphilitic, but because they could not feel sure whether it was cancerous or syphilitic. Weeks were allowed to elapse in this manner until the ulcer had clearly shown that it was not in the least affected by antisyphilitic treatment, and perhaps had implicated the lymphatic glands The period at which it should have...
Page 212 - ... get no medicine except the spirit of camphor, of which he contrived to import two or three large bottles. He took it constantly in large doses for quite three years, and recovered so completely that he ventured to marry, a step of which he had previously entertained the greatest dread. When used, it may be given in doses of half a drachm to a drachm of the spirit, and this may be gradually increased to a drachm and a half, or two drachms.
Page 342 - This method should be employed in every doubtful case. It can be used in most instances with success, even when there is no ulceration. The reason which leads us to speak so strongly in favour of the microscopic examination is that we have seen many cases in which carcinomatous ulcers have been treated as syphilitic ulcers by some of the best clinical surgeons in London, not because they felt sure that the disease was syphilitic, but because they could not feel sure whether it was cancerous or syphilitic....
Page 439 - A few weeks later paralysis of the left eye developed with very slight weakness of the lower part of the face on the left side and deviation of the tongue. There was no hemiplegia. One week later the patient began to experience visual hallucinations, which appeared during the day and at night-fall. She saw cats, birds and chickens which made no noise but fixed the patient with their stares. The hallucinations persisted and became...
Page 196 - Mucous patches occur much more often on the borders, leucoma patches on the dorsum of the tongue; mucous patches are much more often deeply ulcerated than leucoma patches. Leucomas, when thick and white and raised, and, therefore, most likely to be taken for mucous patches, are, as a rule, much harder and drier than mucous patches. Leucoma usually runs a very slow course, mucous patches a comparatively quick course.
Page 188 - Yet nothing leads to greater errors in diagnosis and treatment than the tendency to see syphilis in every form of obscure affection of the tongue, or to persist in a diagnosis of syphilis when a short and vigorous administration of anti-syphilitic remedies has proved of no service.

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