. Journal - American Medical Association . tain direct results of the naso-pharj-n-geal obstruction, namely, to mouth breathing, toerrors of pronunciation and to deformities of thechest walls and of the framework of the nose. 342 FRACTURE OF THE [March 8, When free nasal respiration has been actuallyestablished every possible encouragement shouldbe held out to the patient to close the mouth andbreathe through the nose, both while awake andasleep. Much help will be given if the jaw dropduring sleep by affording it some artificial sup-port. For this purpose a bandage of mull, tiedunder
. Journal - American Medical Association . tain direct results of the naso-pharj-n-geal obstruction, namely, to mouth breathing, toerrors of pronunciation and to deformities of thechest walls and of the framework of the nose. 342 FRACTURE OF THE [March 8, When free nasal respiration has been actuallyestablished every possible encouragement shouldbe held out to the patient to close the mouth andbreathe through the nose, both while awake andasleep. Much help will be given if the jaw dropduring sleep by affording it some artificial sup-port. For this purpose a bandage of mull, tiedunder the chin and over the top of the head, thisheld in place by a second bandage tied aroundthe forehead, the two being held together withsafety pins at their intersection opposite the tem-ples, as suggested by Dr. T. R. French will befound effective. A CASE OF OLD FRACTURE OF THE PATELIyA CURED BY WIRING THE FRAGMENTS. Rtad in Ike Sectiun of Surgery and Anatomy, at the Fortieth An-nual Meeting of the American Medical Association,/une, Fig. 6.—Method of banda^ng the chin to prevent mouthbreathing during sleep.—{French.) The diiEculty in pronouncing certain conso-nants is sometimes due partly to the relaxation ofthe soft palate common in these cases and it doesnot disappear immediately after the removal otthe pharyngeal tumor. This condition should beremedied by appropriate local treatment, thepatient meanwhile being trained by suitablevocal exercises. Deformity of the chest, the so-called pigeonchest, so commonly present in these cases,should be recognized, and physicial exercise ap-propriate for its eradication, be instituted. Nasaldeformities too should be looked for and, if pres-ent, appropriately treated, although it is oftenastonishing, particularly in the case of the veryyoung, how readily they will subside under theinfluence of the admission of fresh air and therestoration of the normal function of the organ. In conclusion, it will appear that adenoidhypertrophy
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Keywords: ., bookcentury1800, bookdecade188, booksubjectmedicine, bookyear1883
