Plastic surgery; its principles and practice . 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
Plastic surgery; its principles and practice . 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 beingconstantly bitten, Butlins operation of marginal resection as modifiedby Handley, is useful. The tongue is transfixed far back with a strong 232 PLASTIC SURGERY. Fig. 178.—Method of excising a wedge of tissue from the tip of the tongue for hyper-trophy.—Note the position of the posterior suture which should be tied as soon as thewedge is removed, to check hemorrhage. t - -J\
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
