. Deformities of the mouth : congenital and acquired, with their mechanical treatment. Fig. 75. Fig. 76. Fig. 77. Fig. 75. Appearance of opening when placed under my care fortreatment. Fig. 76. Appearance after the plate has been worn for twomonths. Fig. 77. Appearance of the opening reduced to the diametershown in wood-cut, twelve months after treatment. The cuts, Figs. 76 and 77 are one-half the natural size. The two following cases may perhaps be advan-tageously reported here, as they are both of avery severe character. Sophia S ; Aet. 32.—Applied at the Hospi- 193 tal for Diseases of the T


. Deformities of the mouth : congenital and acquired, with their mechanical treatment. Fig. 75. Fig. 76. Fig. 77. Fig. 75. Appearance of opening when placed under my care fortreatment. Fig. 76. Appearance after the plate has been worn for twomonths. Fig. 77. Appearance of the opening reduced to the diametershown in wood-cut, twelve months after treatment. The cuts, Figs. 76 and 77 are one-half the natural size. The two following cases may perhaps be advan-tageously reported here, as they are both of avery severe character. Sophia S ; Aet. 32.—Applied at the Hospi- 193 tal for Diseases of the Throat for treatment ofsevere ulceration and loss of parts at the back ofthe mouth. Nearly the whole of the velum palatihad disappeared, the anterior and posterior pillars. Fig. cicatrices and old syphilitic scars in front of fissure. of the fauces were likewise destroyed, so that theroof of the mouth presented the appearance ofcontinuance backwards to the posterior wall ofthe pharynx, as shown in fig. 78. 194 In the position that would be occupied by theuvula and central portion of the soft palate, whenelevated for dividing the mouth from the nose, therewas a large opening of an oval form/about one anda quarter of an inch in extent one way, and three-quarters of an inch from side to side. In swal-lowing, there was not the slightest movement atthe back of the mouth, except in the tongue, whichwas the only member that could contribute anyassistance to the process of conveying the food tothe opening into the oesophagus. The back of themouth was in this way kept in a very irritablecondition by the continual lodgment of food inthe cleft. From the state of the palate, speechwas scarcely intelligible, and the life of the poorwoman was in every way a


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmouth, bookyear1881