A text-book on diseases of the ear, nose and throat . Hypertrophy of the lingual tonsil. (Seifert and Kahn.) Treatment consists in the removal of the offending tissue. A wiresnare in a cuived canula, the wire being either hot or cold, may be used 572 DISEASES OF THE PHARYNX. to remove the offending masses, or they may be taken off with a lingualtonsillotome (Fig. 219). In case the masses are not large enough to engage in any of the fore-going instruments, the ignipunCture method may be used (page 567).. 219. Myless lingual tonsillotome. Care must be taken not to burn too freely in this localit


A text-book on diseases of the ear, nose and throat . Hypertrophy of the lingual tonsil. (Seifert and Kahn.) Treatment consists in the removal of the offending tissue. A wiresnare in a cuived canula, the wire being either hot or cold, may be used 572 DISEASES OF THE PHARYNX. to remove the offending masses, or they may be taken off with a lingualtonsillotome (Fig. 219). In case the masses are not large enough to engage in any of the fore-going instruments, the ignipunCture method may be used (page 567).. 219. Myless lingual tonsillotome. Care must be taken not to burn too freely in this locality, for the pro-duction of too much scar tissue may predispose to later neoplasticformation. Polypoid Hypertrophy of the Tonsils.—Apart from hyper-trophy of the tonsil as a whole, sometimes there is found a local enlarge-ment, giving rise in a lesser degree to the same symptoms as general hyx^ertrophy, and remediable by thesame measures, especially the galvano-cautery snare, as the growths are moreor less pedunculated. In these ad-junct masses there is generally an ex-cessive development of connective tis-sue, which at times resembles an actualsclerosis. Such growths may be acces-sory tonsils, or may present as an elon-gation at the site of attachment of oneor several lobules of a multilobularand hypertrophied tonsil. Occasion-ally the entire tonsil is marked example of this condition isthat reported by Lemariey^ (Fig. 220).In his case the length of the pedi-cle was sufficient to


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