Plastic surgery; its principles and practice . is of interestto the plastic surgeon, as macroglossia and macrochelia are due tothe presence of lymphangioma and are often difficult to treat. Newhas had good results from radium in lymphangioma of the tongueand considers this the best treatment. He uses either external ap- MALFORMATIONS 231 plications, or else incises and buries the radium as in cavernous hem-angioma. The .v-ray seems useless in the treatment of this type oftumor (Fig. 177). I have had under my care an extensive cavernous lymphangiomaof long duration covered with dense leathery s
Plastic surgery; its principles and practice . is of interestto the plastic surgeon, as macroglossia and macrochelia are due tothe presence of lymphangioma and are often difficult to treat. Newhas had good results from radium in lymphangioma of the tongueand considers this the best treatment. He uses either external ap- MALFORMATIONS 231 plications, or else incises and buries the radium as in cavernous hem-angioma. The .v-ray seems useless in the treatment of this type oftumor (Fig. 177). I have had under my care an extensive cavernous lymphangiomaof long duration covered with dense leathery skin, which could only besuccessfully treated by operative methods. Gradual partial excisionwith final plastic readjustment was employed. In the dense thickening of the skin with heavy folds which we some-times lind. operative measures are our only resource. Hypertrophy of the Tongue (Macroglossia).—Hypertrophy ofthe tongue is caused by a cavernous lymphangioma involving thesubmucous connective tissue and sometimes the muscle of the Fig. 177.—Lymphangioma (congenital) of the thumb.—The growth surrounded thethumb from the base of the nail to the metacarpophalangeal joint. It was removed bypartial gradual excision. It may implicate the whole tongue or only a portion of it. The tonguemay be enlarged at birth, or rapid subsequent increase in size of a pre-viously small growth may develop. The enlargement is sometimesso great that breathing, eating and talking are interfered with, and therehef of this condition calls for radical surgical measures. Treatment.—If the hypertrophy is localized, this part may be ex-cised and the edges sutured. When the entire tongue is involved, adeep wedge of tissue may be removed from the tip or from some otherpart selected, and the wound closed. It may be necessary temporarilyto block or to tie the lingual arteries in extensive cases, and sometimestracheotomy is indicated. When the tongue is simply enlarged so that its edges are beingc
Size: 2022px × 1236px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
