. A system of obstetrics . ld down behind the alveolar process, whilethe dorsum is elevated instead of forming a groove, as is necessary in theact of sucking. The operation of dividing the frsenurn is best performed by passingthe tips of the first and second fingers of the left hand, palms down-ward, under the tongue and on either side of the frsenurn, and raisingthe tongue toward the roof of the mouth : by this act the frsenurn isput on the stretch. With blunt-pointed scissors the edge should besnipped, and such further division may be made as will give sufficientfreedom to the tongue. A cut
. A system of obstetrics . ld down behind the alveolar process, whilethe dorsum is elevated instead of forming a groove, as is necessary in theact of sucking. The operation of dividing the frsenurn is best performed by passingthe tips of the first and second fingers of the left hand, palms down-ward, under the tongue and on either side of the frsenurn, and raisingthe tongue toward the roof of the mouth : by this act the frsenurn isput on the stretch. With blunt-pointed scissors the edge should besnipped, and such further division may be made as will give sufficientfreedom to the tongue. A cut to the depth of an eighth of an inch isordinarily sufficient. The danger in the operation is hemorrhage froma wound of one of the arteries, but these vessels are protected by thefingers placed as described. Macroglossia. Macroglossia, or hypertrophy of the tongue, is usually a congenitalaffection or appears in early infancy ( Fig. 1 77). Butlin ! states that in 1 Diseases of the Tongue, p. 211. VASCULAR TUMOR OF THE TONGUE. Hypertro]Toni many cum., in which the disease has occurred in young subjects it has followed bo closely on various general and local maladies, and has appeared so clearly to owe its origin to them, that the theory congenita] origin can scarcely be maintained successfully for everr case. It has been attributed to such local causes as abscess, ranula, mercurial salivation, injuries, and it has been immediately preceded by such constitutional causes as chicken-pox, scarlet fever, whooping cough, and epileptic attacks. The above author BUgg - that in such cases there may have been an inherited predisposition in some, if not many, of the regard to the pathology of macroglossia, Vir- chow first discovered that then- was dilatation of the lymph-vessels, with an increase of the connective tissue. Butlin1 states that most authors are ag that the diseased condition <.i the lymphatics i- the essentia] element in macroglossia, and that all other changes w
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
