Applied anatomy and oral surgery for dental students . and there are no other lesions ofsyphilis present. In the tertiary stage we may find a gumma of the tongue,lip, cheek, soft palate, or hard palate, or its sequel,necrosis of the bones of the roof of the mouth, andcleft palate (Fig. 45). A gumma of the tongue is differentiated from car-cinoma of the tongue as follows: CiUNLMA. Not painful. Develops more ra[)idly. V^ery little induration. History and other signs of s>q)hili^ Carcinoma. Painful. Develops more reveals nature of thegrowth. Syphilitic ulcer
Applied anatomy and oral surgery for dental students . and there are no other lesions ofsyphilis present. In the tertiary stage we may find a gumma of the tongue,lip, cheek, soft palate, or hard palate, or its sequel,necrosis of the bones of the roof of the mouth, andcleft palate (Fig. 45). A gumma of the tongue is differentiated from car-cinoma of the tongue as follows: CiUNLMA. Not painful. Develops more ra[)idly. V^ery little induration. History and other signs of s>q)hili^ Carcinoma. Painful. Develops more reveals nature of thegrowth. Syphilitic ulcer is to be differentiated from tuber-culous ulcer. 12 178 SPECIAL SURGERY Syphilitic painful. Rough, undermined may be and other lesions of syph-ilis. Tuberculous Pale, with smooth bacilli lesions of tuberculosis. The oral manifestations of hereditary syphiHs are:Hutchinsons teeth, which are typically seen in the per-manent central incisors, though the lateral incisors. Fig. 45.—Nasal deformity due to syphilis. In this case the cartilaginousand bony septum was completely destroyed, allowing the nose to fall in and thetwo nostrils to become fused into one opening. There is scarcely any trace of thealae nasi (Eisendrath). and other teeth may be poorly developed. The teethare barrel shaped, with a semilunar notch on the cutting-edge. Cracks or fissures (rhagades) around the mouth SYPHILIS OR LUES 179 are common in infants with hereditary syphilis, whichlater in life leave radiating linear scars. The ordinarysecondary and tertiary symptoms—mucous patches,glandular enlargement, gumma, necrosis, cleft-palate,etc.—are found just as in acquired syphilis. Newer Methods of Diagnosis and Treatment.—Withinthe last ten years our ideas as to the diagnosis and treat-ment of syphilis have been revolutionized by three greatadvances: (i) The estabhshment of the Treponema palli-dum as the cause of syphilis;
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Keywords: ., bookauthoriv, bookcentury1900, bookdecade1910, booksubjectanatomy
