Surgery; its theory and practice . issue of the septum, and also in the substance of themuscles. They may be single or multiple. The mucous mem-brane covering them is at first natural in appearance, but, as thegumma softens, it gives way, and a deep syphilitic ulcer is pro-duced. Iodide of potassium is the remedy. Excision of the tongue may be performed in many those methods in most general use will be here will be considered under the heads of, excision with (i)the knife, (2) the ecraseur, (3) the scissors, (4) the galvano- cautery. The tongue is alsofrequently excise
Surgery; its theory and practice . issue of the septum, and also in the substance of themuscles. They may be single or multiple. The mucous mem-brane covering them is at first natural in appearance, but, as thegumma softens, it gives way, and a deep syphilitic ulcer is pro-duced. Iodide of potassium is the remedy. Excision of the tongue may be performed in many those methods in most general use will be here will be considered under the heads of, excision with (i)the knife, (2) the ecraseur, (3) the scissors, (4) the galvano- cautery. The tongue is alsofrequently excised simultan-eously with infiltrated glandsthrough an incision in the sideof the neck by (5) Kochersmethod. 1. Excision with the knife,on account of the profusehaemorrhage which attends it,is only applicable when the an-terior portion of the tonguerequires removal. The tongueshould be well drawn forwardand the diseased portion cutaway with one sweep of theknife, and the bleeding vesselstied. 2. The ecraseurxa much less Fig. 236. .^*. / Excision of the tongue with the i-craseur. used than formerly. The mouth having been widely opened bya gag, two ligatures are i)assed through the tongue, one on eitherside of the tip, and the mucous membrane, where it is reflectedfrom the tongue to the jaw, is divided with scissors along with EXCISION OF THE TONGUE. 525 some of the fibres of the genio-hyo-glossus. The mucous mem-brane covering the dorsum ot the tongue is next divided in themiddle line by a bistoury from the tip as far back as to be wellbeyond the disease. This allows the tongue to be readily sphtwith the fingers into two halves. The cord of the ecraseur is nowpassed over one-half, and well behind the disease, and, if thewhole tongue is to be removed, the cord of a second ecraseurover the other half. The cord being tightened by screwing upthe ecraseur, the tongue is cut through. The lingual artery, withthe gustatory nerve, is drawn out in the form of a loop by thecord of the ecraseu
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
