Operative surgery . ndant on its presence in the mouth. The After-treatment.—Thorough asepsis and a liberal nutritious dietare the elements of prime significance in the treatment. Rectal alimenta-tion for the first two days, followed by the use of the stomach tube, if neces-sary, is very important. Abundant fresh air and cleanliness of the mouthshould be secured. Tlie Results.—The rate of mortality from removal of the tongue by allof the methods described is considerable, fifty-six out of two hundred andforty-four cases having died. In one hundred and sixty-three cases of re-moval through the
Operative surgery . ndant on its presence in the mouth. The After-treatment.—Thorough asepsis and a liberal nutritious dietare the elements of prime significance in the treatment. Rectal alimenta-tion for the first two days, followed by the use of the stomach tube, if neces-sary, is very important. Abundant fresh air and cleanliness of the mouthshould be secured. Tlie Results.—The rate of mortality from removal of the tongue by allof the methods described is considerable, fifty-six out of two hundred andforty-four cases having died. In one hundred and sixty-three cases of re-moval through the mouth attended with preliminary ligature of the Ungualsonly, the death-rate was per cent. In fifty-eight cases operated on byKocher, the death-rate was about per cent. In twelve cases done byKocher after his own method the death-rate was per cent. In removalrequiring excision of the jaw or extensive dissections, the rate is increasedfive and ten per cent. In two hundred and forty cases ten per cent. OPKRATIONS ON TllH MoL Til. 575 reached the three-year luid G.(i per cent the four-year limit. In severe cjises,when thoroughly doiu-, the life limit is eneouragin«^, us is shown by the factthat half of Koehers long-livi-d ones were of this character. Whiteheadreports 1^.) eases, in whieh, so far as could be known, 8 lived from .i to 10years, 17 succumbing before the three-year jjcriod ((hirtis). ireves reports34 cases of his own attended with j)rimary ligature of the Unguals, in which.) died, liaker reports, as the result of his method, 40 cases with 5 deaths,1 from diphtheria. Many of Whiteheads cases are early ones. The rate inremoval of glands and part or whole of tongue below jaw is 5 per cent betterthan with division of jaw. Tongue-tie.—Tongue-tie depends on an undue extension forward, eitherwith or without an abnormal shortening of the frjcnuni linguae. If thecondition be severe enough to call for treatment, the end of the tongue ispressed upward by passi
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