An American text-book of the diseases of children .. . e disorders, when a critical inspection ofthe pharynx in a state of quietude would dis-close the palate lying on the base of the elongation has even served to exciteattacks of laryngismus stridulus. Rarely theuvula is bifid, a congenital defect which pre-disposes it to elongation. Treatment.—Concerning the treatment,palliation may be secured, even cure in recentcases, by an astringent spray or gargle. Moreoften this will fail to produce wholly satisfac-tory results, and then attention must be givento whatever abnormality und
An American text-book of the diseases of children .. . e disorders, when a critical inspection ofthe pharynx in a state of quietude would dis-close the palate lying on the base of the elongation has even served to exciteattacks of laryngismus stridulus. Rarely theuvula is bifid, a congenital defect which pre-disposes it to elongation. Treatment.—Concerning the treatment,palliation may be secured, even cure in recentcases, by an astringent spray or gargle. Moreoften this will fail to produce wholly satisfac-tory results, and then attention must be givento whatever abnormality underlies the elonga-tion of the uvula: if the tonsils be hypertro-phied, they should be abscised; if there benaso-pharyngeal adenoid hypertrophy, it shouldbe removed, etc. If the difficulty then con-tinue, one should not hesitate to abscise thesurplus portion of the uvula, leaving it of nor-mal length. It is most quickly done by a uvulatome fashioned on the principle of a tonsillotome, but can readily beaccomplished by forceps and scissors. (Fig. 1.). Abscission of the Uvula. M 434 AMERICAN TEXT-BOOK OF DISEASES OF CHILDEEX. m. Chronic Folliculous Pharyngitis. Although, as previously stared, simple chronic pharyngitis occurs but rarelyin childhood, chronic folliculous pharyngitis is not uncommon. It is character-ized by enlargement of the isolated muco-lymphoid follicles which are scatteredover the posterior wall of the pharynx and arranged in a chain in each lateralangle of the throat behind the posterior pillar. These are single folliclthe same histological structure as the tonsils, which are compound glands. Iti< natural, therefore, that they should become hypertrophied in response to thesame underlying dyscrasia—lymphatism—which predisposes patients to hyper-trophy of the ton<ils and of the naso-pharyngeal adenoid tissue. Indeed, inchildren the disease is usually conjoined with the latter pathological are manifest only in pronounced cases, and then
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Keywords: ., bookcentury1800, bookdecade189, booksubjectchildren, bookyear1895
