A text-book on diseases of the ear, nose and throat . his operation has often been abused in the past, but recently there hasbeen a reaction against over-zealous surgical procedures. Astringentsmay profitably precede surgical intervention, but their effects in pro-nounced cases will be but temporary, and on their cessation the old train ^ Jour. Exp. Med., vol. iii. p. 551. 534 DISEASES OF THE PHARYNX. of symptoms will reappear. Mild cases of elongation may j^ermanentlydisappear if the stomach be regulated. From a surgical point of view the main question is, Granted that uvu-lotomy is necessary
A text-book on diseases of the ear, nose and throat . his operation has often been abused in the past, but recently there hasbeen a reaction against over-zealous surgical procedures. Astringentsmay profitably precede surgical intervention, but their effects in pro-nounced cases will be but temporary, and on their cessation the old train ^ Jour. Exp. Med., vol. iii. p. 551. 534 DISEASES OF THE PHARYNX. of symptoms will reappear. Mild cases of elongation may j^ermanentlydisappear if the stomach be regulated. From a surgical point of view the main question is, Granted that uvu-lotomy is necessary, how much of the organ should be removed ? In theadult the uvula measures, on the average, three-eighths of an inch inlength, and, with the mouth closed, should hang free in the fauces, nottouching the tongue. Before making an estimate of the amount of tissueto be removed it is essential that the part be at rest in a normal iDosition,otherwise the soft palate will be raised and the uvula along with it,thereby distorting natural relations. Fig. Operation of uvulotomy. (Bosworth The operation of uvulotomy or staphylotomy is often performed by thegeneral practitioner, and hence is here described in detail. Anaesthesiais easily obtained with a ten per cent, cocaine solution, applied in sprayor on a cotton carrier. The tongue is depressed with an instrument(preferably Tiircks) held by the patient (Fig. 174), the tip of the organis drawn forward with a pair of fine-toothed forceps, and the sectionmade either with one of the uvulotomes in common use or with a pairof long-handled scissors curved on the flat side. DISEASES OF THE UVULA AND TONSILS. 535 Care should be taken to make the section in such a way as to bevel theorgan on its posterior surface. Food is thus prevented from coming incontact with the raw surface, and the drip of the secretions from aboveis facilitated. Pieces of ice held in the mouth lessen the after-smarting. Fig. 197.
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