Diseases of the nose and throat; a text-book for students and practitioners . ck of Indian feverhe had noticed difficulty in respi-ration and deglutition, which wasinstantly relieved by elevating thechin and occiput, thus straighten-ing the cervical vertebrae. A sup-port was adjusted with happyeflfect. The next most frequent mal-formation is, perhaps, a divisionof tlie uvula. It may be splitfrom tip to base, but, as a rule,only the lower part is bifid; thetwo portions generally remain in contact, but with true bifiduvula the lower extremities stand out as two diverging this condition
Diseases of the nose and throat; a text-book for students and practitioners . ck of Indian feverhe had noticed difficulty in respi-ration and deglutition, which wasinstantly relieved by elevating thechin and occiput, thus straighten-ing the cervical vertebrae. A sup-port was adjusted with happyeflfect. The next most frequent mal-formation is, perhaps, a divisionof tlie uvula. It may be splitfrom tip to base, but, as a rule,only the lower part is bifid; thetwo portions generally remain in contact, but with true bifiduvula the lower extremities stand out as two diverging this condition nothing is usually required ; it may, however,cause vocal defects in singers, when the opposing edges should befreshened and united by stitches. The condition is sometimesso extensive as to form a cleft palate. The uvula is at timesvery large; at others, small or even wanting; or, again, turnedto one side, etc. Instances are not wanting in which there is auvula on each side of the Aiucial space. The tonsils are at times either congenitally large, small,absent, or Fig. 67.—Skpakate Mucous In-vestment OF THE PaLATO-GLOSSUS Muscles. 270 DISEASES OF THE NOSE AND THROAT. The naso-pharynx is sometimes divided vertically by aridge of bone, the backward continuation of the nasal may give rise to few if any symptoms, but may often inter-fere with deglutition and impair vocal tones. Such a septum canbe broken down with forceps or cut out with a saw or electricdrill. The naso-pharynx may be separated from one or bothnasal canals by a bony or fibrous plate, destroying the sense ofsmell, the natural voice, and nasal respiration. If bony, such apartition should be drilled or broken down with chisel andforceps ; or, if fibrous, cut with a knife or galvano-cautery blade. The anterior half-arches are rarely congenitally perforated,but Cohen has pictured one such case in his Diseases of theThroat and Nasal Passages. Four others have been reported,and Fig. 67, on precedin
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Keywords: ., bookcentury1800, bookdecade1890, bookpublisherph, booksubjectnose
