. Journal - American Medical Association . Fk;. .y -The upper pharynx, showing a large adenoid growthA springing from the the superior part of the pharynx, covering the tube leading to the -^ ? *•- entrance to the nose B.—(Ufferti.\ . and obstructing the In the second variety the conditions are essen-tially different. The hypertrophied mass par-takes more of the nature of a well-defined tumor,its base being tolerably small, its surface smooth,. Fig. 4.—Siilc view of number .. showing obstruction A in upperpart of pharvnx. Owing to this, the patient must breatlie through the mouth
. Journal - American Medical Association . Fk;. .y -The upper pharynx, showing a large adenoid growthA springing from the the superior part of the pharynx, covering the tube leading to the -^ ? *•- entrance to the nose B.—(Ufferti.\ . and obstructing the In the second variety the conditions are essen-tially different. The hypertrophied mass par-takes more of the nature of a well-defined tumor,its base being tolerably small, its surface smooth,. Fig. 4.—Siilc view of number .. showing obstruction A in upperpart of pharvnx. Owing to this, the patient must breatlie through the mouth. its consistence firm and its substance composedmore largely of fibrous tissue element. Opera-tion upon the latter variety is far more difficult 338 ADENOID HYPERTROPHY. [March 8, than the former, as its dense structure offersgreater resistance to the efforts of the surgeon,which, when successful, result in the removal ofbut small masses of firm tissue, in marked con-trast to the large fragments which are easilj tornaway in cases representing the varietj first men-tioned. The location of the growth is of great practicalimportance, both as regards its effects and as tothe comparative difKculty of its removal. Itssize may be so great as to practically fill theretro-nasal space, or, on the other hand, the in-crease in its volume may be so slight as to makeit difficult to determine whether or not its condi-dition is pathological. It may be confined-st
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Keywords: ., bookcentury1800, bookdecade188, booksubjectmedicine, bookyear1883
