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Show OPERATION ON THE AMYG'DALIE. : ,.. ,. ur-1":7"7 «a?» .u » the needle is taken away, and the ligatures remain. There are now of course two ligatures one of which is to be tied, in each side of the diseased part, so as totally to obstruct the circulation in the insulated portion. As is here represented. ‘. E :5 r fig. 3: A, the diseased portion; B, B, the ligaturcs tied; C, 2/1: INUM ‘ 7 point at which the needle was passed. ' " In a few days the diseased part drops oil", and the surface left by this separation looks sloughy, but becomes soon clean, and fills up in a. wonderful degree. The pain is much less than we should be led to expect. A salivation is some» times the cfl‘cct of the operation. .Wfl‘? --..-‘_,,_.A.V. _-.,~7._"‘ r"-A . ., .. orenrrrox 0N rm: AMYGDALE. Ix the inflammatory sore throat, these glands swell enormously, so as to produce an apprehension of suffocation. But when they suppurate fully, they burst and the relief is perfect. In imitation of this, we have sometimes to pierce them in order to evacuate the matter. Often this does not succeed, that is to say, the matter is not fully evacuated. But shortly after the matter is spontaneously discharged. -tthPS this 1s, because the matter 1s behind the glands. 02' or THE CANCERS or rm: LN. in the duplicature of the arches of the palate. . 26 Be this as it may, deep scarifications of the glands of the throat do no harm. When the tumefaction is thus great in degree, and although the matter be not evacuated, the discharge of blood relieves the swelling and tension. All the glandular apparatus of the mouth, and throat, is subject to disease; none more frequently than the amygda~ lee, for often after swelling ennormously in their inflammatory affections, instead of entirely Subsiding, or suppurating, they These degenerate into hard tumours, if not scirrhosities. tumours of the amygdalae, besides occasioning much inconvenience, from the ditliculty of swallowing, produce a remarkable change on the voice, and require to be taken out. These diseased glands have been violently torn away, an operation not to be imitated. The French surgeons cut them with a concealed knife, but I conceive the ligature is still preferable. The ligature may be thrown on the tumour, in the manner I have described in speaking of the operation on tu« moms in the rectum. OF THE UV ULA. THE uvula often hangs down relaxed, producing a feeling "which the patient is most anxious to be rid of. Very simple means will often succeed in causing it to be drawn up, viz. to touch it once, or twice, with a little Cayenne pepper and to use astringent gargles. When this does not succeed, and there is a real enlargement, and prolapsus, the ligature, or scissors may be used to free the patient of it entirely. caxcras OF THE er, &c. Warm the lip is the seat of cancer, the disease seems to be less virulent in its nature, than when in any other part of the body. Here excision promises perfect securitv. . why-.1." 22 ,5 i "flaw I |
