. The principles and practice of surgery. eration made for the removal of an encysted tumor of the tongueproved fatal in consequence of the haemorrhage. They should betreated by incision and injection. Indeed this observation applies toall simple encysted tumors which may form in the mouth, and remotefrom the orifice. Hypertrophy of the Tongue. Syn., Hypertrophia o.—Hypertrophy of the tongue is an occasional result of glossitis;but it is more frequently met with as a congenital affection. Whenthis condition has ensued upon glossitis, it will be proper to attempt itsreduction by long
. The principles and practice of surgery. eration made for the removal of an encysted tumor of the tongueproved fatal in consequence of the haemorrhage. They should betreated by incision and injection. Indeed this observation applies toall simple encysted tumors which may form in the mouth, and remotefrom the orifice. Hypertrophy of the Tongue. Syn., Hypertrophia o.—Hypertrophy of the tongue is an occasional result of glossitis;but it is more frequently met with as a congenital affection. Whenthis condition has ensued upon glossitis, it will be proper to attempt itsreduction by long-continued and well-regulated pressure. For thispurpose, an accurately fitting cap of India-rubber may be employed ;or a roller of cotton cloth, which must be renewed two or three timesdaily. In congenital hypertrophy of the tongue, the unremitting outwardpressure exerted upon structures in the process of development causes,at length, serious deformities of the face and lower jaw. The lower lip^ EPITHELIOMA OF THE TONGUE. G41 Fig. Congenital Hypertrophy of the Tongue.—Buck. becomes everted, the central lower teeth project horizontally, and eventhe inferior maxilla is sometimes changed in form. When, in a case of hypertrophy from glossitis, all other means havefailed, and also in most cases of con-genital hypertrophy, it will be ne-cessary to diminish the length andthickness of the tongue by an opera-tion. Dr. Buck, in his report of thecase illustrated by the accompanyingwood-cut, states that he found theincreased thickness in the verticaldiameter of the tongue a more se-rious impediment to its return within ^the mouth than its transverse expan- ^af4sion; and that, having made theusual vertical V-shaped incision, hefound it necessary, subsequently, toremove another portion by a horizon-tal V incision, and he would recom-mend that hereafter this latter method of incision should in all casesbe In making the operation it is advisable, in order to avoid all dange
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