The practice of surgery . esult issatisfactory, and no important lesion of structureis inflicted on the part. Should a case present .,,-,, , ,r, , .. f. ... {. Tongue, swollen by Glossitu. itself too advanced to admit ot waiting tor the effects of incision, life must be saved at all hazards—by bronchotomy. Wounds of the Tongue. Wounds of the tongue bleed copiously. Hemorrhage is to be com-manded by ligature and styptics; if need be, the cautery may be uniting the wound, after bleeding has ceased, it is plain that we canavail ourselves only of the common interrupted suture—other rete
The practice of surgery . esult issatisfactory, and no important lesion of structureis inflicted on the part. Should a case present .,,-,, , ,r, , .. f. ... {. Tongue, swollen by Glossitu. itself too advanced to admit ot waiting tor the effects of incision, life must be saved at all hazards—by bronchotomy. Wounds of the Tongue. Wounds of the tongue bleed copiously. Hemorrhage is to be com-manded by ligature and styptics; if need be, the cautery may be uniting the wound, after bleeding has ceased, it is plain that we canavail ourselves only of the common interrupted suture—other retentivemeans being inapplicable to the part. In the slighter cases, the use ofsutures may effect not only approximation but also a hemostatic result. Ulcers of the Tongue. Ulcers of the tongue, like those of the lips, may be either simple ormalignant. The former may depend on local irritation, as from tartaror decayed teeth; or on gastric irritation; or on a general febrile con- 214 INDURATION OF THE TONGUE. Pig. Excavated Malignant Dicer of theRoot of the Tongue. (Edema glottidishas supervened secondarily. dition; or on a mercurio-syphilitic state ofsystem. And the treatment, it is obvious,will vary accordingly. The preferable localapplications are—nitrate of silver, either insubstance or in solution ; and, in obstinatecases, the fluid pernitrate of mercury ; theformer applied frequently, the latter at longintervals. The malignant ulcers are to be got rid of,by knife, ligature, or cautery. The first twomethods are usually to be preferred; and duecare must ever be taken that the whole of theapparently diseased part, with a border ofapparently sound texture, is removed (Prin-ciples, 3d Am. Ed. p. 317). Persons of advanced years should be verycareful to avoid all continued irritation of thetongue, as by tartar, false teeth, &c, lesttroublesome and ultimately malignant ulcera-tion be induced. Hypertrophy of the Tongue. The tongue is occasionally the seat of simple enlarg
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