Diseases of the nose and throat . s is sometimes considerable, especially whenthe electro-cautery has been used, and is best relieved by holdingpieces of cracked ice in the mouth, or by the application of cocaine. The lingual tonsil is no doubt subject to inflammatory attacks pre-cisely as are the other lymphoid masses in the adenoid triangle, ABSCESS OF THE LINGUAL TONSIL. 261 or lymphoid ring. In the opinion of H. L. Swain, who has seena number of cases, the condition is often overlooked. A series ofsixteen cases has been reported by Seifert and almost an equal num-ber by other observers. Th
Diseases of the nose and throat . s is sometimes considerable, especially whenthe electro-cautery has been used, and is best relieved by holdingpieces of cracked ice in the mouth, or by the application of cocaine. The lingual tonsil is no doubt subject to inflammatory attacks pre-cisely as are the other lymphoid masses in the adenoid triangle, ABSCESS OF THE LINGUAL TONSIL. 261 or lymphoid ring. In the opinion of H. L. Swain, who has seena number of cases, the condition is often overlooked. A series ofsixteen cases has been reported by Seifert and almost an equal num-ber by other observers. They may be less frequent, or perhaps lessclearly recognized, than similar affections of the palatal tonsils, orpossibly the intensity of the process in the latter overshadows a con-comitant trouble at the base of the tongue. Phlegmonous inflam-mation, or lingual quinsy may be a very serious disease. Itrarely extends beyond the anatomical limits of the tonsil, but whenit does invade the floor of the mouth it resembles a true angina. Fig. ioo. Roes Lingual Tonsillotome. Ludovici. The constitutional disturbance is extreme, as indicatedby the high temperature and rapid pulse. Pain is severe and con-stant and is intensified by attempts to speak or swallow and by theslightest movement of the tongue. The swelling may be enormousso that the tongue protrudes from the mouth and there is a continu-ous dribbling of saliva. The breath becomes horribly fetid andthe tongue is covered with a thick leathery fur. Dypsnea mayresult from swelling or from edema of the epiglottis and the vesti-bule of the larynx. The danger from this source, or from asphyxia-tion following a rupture of the abscess, is considerable, especiallyin the aged and in those weakened by long illness. It is difficult and may be impossible to introduce the finger forpalpation, and even if we succeed a sense of fluctuation is very 262 DISEASES OF THE NOSE AND THROAT. obscure and indecisive. We may be forced to make a diagnosiswi
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Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectnose, bookyear1903
