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Show OATOF VVOUKDS IN "HIE THR OAT. OF WOUNDS OF THE THR mpt at suicide, is so THE cutting of the throat, in the atte ires the asslstance of the Very common an occurrence, and requ ssary to speak of it, surgeon so frequently, that it becomes nece . under a distinct head. e, the cutting Of all the ways of putting a period to existenc imagination. sane of the throat is the most dreadful, to the Magoo [mum the insane wretch But it is the horror of the deed, on which ing of the broods. It is the vulgar idea, that it is the cutt ch the whi by ls, t vesse wind-pipe, not the opening of the grea fore the man dies. So the suicide very often cuts only on . Or not part of the throat, and does not perpetrate the deed e str1k~ knif the of edge liking the experiment, or perhaps the the and l ing on the firm cartilage, or bone, the wound is smal deep vessels are not touched. Sometimes he draws the knife across the throat, higher than linthe os hyoides, and then the root of the tongue, and the and 0s gual artery are cut ; the muscles uniting the jaw, hyoides are cut; the lingual artery bleeds profusely. Perhaps the ninth pair of nerves, and the salivary ducts are d, wounded. The saliva and fluids attempted to be swallowe late, flow from the wound. The voice is feeble and inarticu and there is danger of suffocation, from the fluids and blood falling into the larynx. Sometimes he cuts down lower than the os hyoides, and betwixt it and the thyroid cartilage, and then the epiglottis may be separated from the larynx. Speech, deglutition and respiration are difficult. When he cuts upon or RANULA. .1 i called, perhaps the vessels have emptied themselves, and the faintness prevents the full jet of blood, and immediate death. The thumb is to be pressed into the angle, or a piece of sponge is thrust in by the side of the throat, until a liga- ture is thrown over the tenaculum; then lifting the finger from the spot from which the blood flows, one vessel will be observed to project with each pulsation, which being taken up, other lesser branches may require to be tied. During this operation, the posture must be such as to prevent the blood falling into the trachea. then the bleeding has entirely stopt, the integuments are to be brought together by two or more stitches ; then a band- I age is put about the head, and the ends of it brought down from the sides of the head to a circular band round the chest, by which the chin is kept down upon the breast, and the trachea and the lips of the wound kept together. A strait jacket is now put upon the person. The food and medicine is to be given by the flexible tube, introduced into the gullet, if a great part of the trachea is cut across ; for the motion of the throat in swallowing, impedes the union of the wound. What proves the most distressing circumstance during the cure, (especially if the woqu has been near the glottis), is the rising of inflammation, and the consequent irritation and cough. It is difficult to allay the thirst without varying the position ; lying on the back for example, the patient will be able to swallow a little, or moisten the parched fauces. RANULA. r.ch-7U7~ -‘n-v,z,x.m-_‘ ".3.ch ‘ . ‘ the thyroid cartilage, he does little harm, but when he cuts iowcr down he strikes the thyroid gland, and opens its vessels. In whatever way the throat be cut, the bleeding is the im» mediate danger ; the person dies of haemorrhagy or from the blood, entering the wind-pipe, and suffocating ; and the source of the blood is from the deep angle of the wound, generally the superior thyroid artery, or the lingual artery -, if the carotid is touched, the patient is gone. Before the surgeon is Know. is, in general, a semipellucid tumour lying under the tongue and in its commencement situate to one side of the frzenulum linguae. It is described as having its origin in the obstruction of the salivary glands ; and accordingly it is not confined to the seat of the sublingual gland, but appears sometimes in the cheek, in the place of the parotid duct, and then it is more fleshy and vascular. It is described as begins For. 1v, .r] await M LlllMl I l ll Irv» |
