. Diseases of the nose and throat . r in this, as in otherhypertrophies, have much to do with its primary development. Notinfrequently it occurs as a sequel to diphtheria, scarlet fever, addicted to the excessive use of spices, condiments, alcohol,etc., are also prone to the disease, owing to the hyperemia producedby their irritative action upon the post-lingual region. According toRay, the disease is of frequent occurrence among singers. Symptomatology. — Lennox Browne describes three forms ofchronic inflammatory disease of the tonsils: 1. As simple lymphoidor catarrhal inflammatio


. Diseases of the nose and throat . r in this, as in otherhypertrophies, have much to do with its primary development. Notinfrequently it occurs as a sequel to diphtheria, scarlet fever, addicted to the excessive use of spices, condiments, alcohol,etc., are also prone to the disease, owing to the hyperemia producedby their irritative action upon the post-lingual region. According toRay, the disease is of frequent occurrence among singers. Symptomatology. — Lennox Browne describes three forms ofchronic inflammatory disease of the tonsils: 1. As simple lymphoidor catarrhal inflammation. 2. Lacunar inflammation. 3. Parenchy-. Fig. 89.—Microscopical section of lobe of lingual tonsil. (Authors specimen.) matous inflammation, sometimes ending in abscess, but usually inhypertrophy. Whatever the form may be, the disease is almost invariablychronic, and of a secondary character. Wot infrequently chronic hypertrophy and lingual varix are asso-ciated together, while in not a few varicose veins will be present,without lymphoid enlargement. The prominent symptoms are thesensation of a foreign body in the throat, unrelieved by swallowing,and, when the growth is large, accompanied by a feeling of constric-tion of the lower pharynx. There is often a reflex irritable cough,a constant endeavor to clear the throat, laryngeal fatigue, and alsooccasional hoarseness. In speakers and singers the voice soon tiresand loses volume. In many instances the lingual is associated with ORO-PHARYNX. HYPERTROPHY OF THE LINGUAL TONSIL. 287 faucial hypertrophy. When varicose veins are present haemorrhage isoften a prominent symptom, occ


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