Diseases of the nose and throat; a text-book for students and practitioners . oaty speech orsong, severe couglis, tobacco, and chemicals. Heredity seemsto play some part in the production of relaxed uvula. It notinfrequently appears without ascertainable cause. The uvulais long ( falling of the palate ) and usually quite thin, although 290 DISEASES OF THE NOSE AND THROAT. occasionally thick. The patient can frequently elevate themuscular and contiguous parts, while the lower portion of themucous lining hangs in a string and rests upon the base ofthe tongue; it often happens, however, that ther
Diseases of the nose and throat; a text-book for students and practitioners . oaty speech orsong, severe couglis, tobacco, and chemicals. Heredity seemsto play some part in the production of relaxed uvula. It notinfrequently appears without ascertainable cause. The uvulais long ( falling of the palate ) and usually quite thin, although 290 DISEASES OF THE NOSE AND THROAT. occasionally thick. The patient can frequently elevate themuscular and contiguous parts, while the lower portion of themucous lining hangs in a string and rests upon the base ofthe tongue; it often happens, however, that there is inability toraise any portion of the appendage, which touches and irritatesthe pharynx and epiglottis. Symptoms.—The symptoms are by no means characteristic,but consist of frequent efforts to swallow and clear the throat;irritable or paroxysmal cough, worse when lying; retching andvomiting; and reflex spasm of the larynx, arousing the patientfrom sleep. As a result of these symptoms, the general healthmay suffer; the patient become nervous, irritable, sleepless; the. Fig. 78.—Sajous* Uvula-Scissors. appetite may fail, and digestion suffer, with resultant loss offlesh,—simulating phthisis. Finally, the singing voice may begreatly impaired, and effort, fatigue, and tremulo accompanyvocalization. When vocal defects are prominent, however,the soft palate is generally relaxed as well. If cough be aprominent symptom, the laryngeal mucous membrane is com-monly somewhat congested in consequence. The prognosis is good. Treatment.—Surgical interference is sometimes , a solution of chloride of zinc, alum, or tannin (15grains to the ounce of glycerin) may be applied or used as agargle. Faradism and galvanism are of importance. If failure TUMORS OF THE UVULA. 291 ensue after a fair trial of internal remedies, together with theseadjuvants, the lower end of the uvula should be the mucous membrane is to be removed, unless there begreat redundancy of
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