. Operative surgery. endant on its presence in the mouth. The After-treatment.—Thorough asepsis and a liberal nutritious dietare the elements of prime significance in the treatment. Rectal alimenta-tion for the first two days, followed by the use of the stomach tube, if neces-sary, is very important. Abundant fresh air and cleanliness of the mouthshould be secured. The Results.—The rate of mortality from removal of the tongue by allof the methods described is considerable, fifty-six out of two hundred andforty-four cases having died. In one hundred and sixty-three cases of re-moval through the
. Operative surgery. endant on its presence in the mouth. The After-treatment.—Thorough asepsis and a liberal nutritious dietare the elements of prime significance in the treatment. Rectal alimenta-tion for the first two days, followed by the use of the stomach tube, if neces-sary, is very important. Abundant fresh air and cleanliness of the mouthshould be secured. The Results.—The rate of mortality from removal of the tongue by allof the methods described is considerable, fifty-six out of two hundred andforty-four cases having died. In one hundred and sixty-three cases of re-moval through the mouth attended with preliminary ligature of the Ungualsonly, the death-rate was per cent. In fifty-eight cases operated on byKocher, the death-rate was about per cent. In twelve cases done byKocher after his own method the death-rate was per cent. In removalrequiring excision of the jaw or extensive dissections, the rate is increasedfive and ten per cent. In two hundred and forty cases ten per cent. 644 OPERATIVE SURGERY. reached the three-year and per cent the four-year limit. In severe cases,when thoroughly done, the life limit is encouraging, as is shown by the factthat half of Kochers long-lived ones were of this character. Whiteheadreports 129 cases, in which, so far as could be known, 8 lived from 3 to 10years, 17 succumbing before the three-year period (Curtis). Treves reports34 cases of his own attended with primary ligature of the Unguals, in which3 died. Baker reports, as the result of his method, 40 cases with 5 deaths,1 from diphtheria. Many of Whiteheads cases are early ones. The rate inremoval of glands and part or whole of tongue below jaw is 5 per cent betterthan Avith division of jaw. Unoperated cases live scarcely more than a —Tongue-tie depends on an undue extension forward, eitherwith or without an abnormal shortening of the frsenum linguae. If thecondition be severe enough to call for treatment, the end of the tongue
Size: 1965px × 1272px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
