The Surgical Clinics of Chicago Volume 1, No. 2

The Surgical Clinics of Chicago Volume 1, No. 2

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1917 edition. Excerpt: ...substance. From what has been said, it is evident that the term "ranula" is a clinical one covering many growths of various origins that may be found on the floor of the mouth, and that it does not designate a distinct pathologic entity. To recapitulate, ramus may be: 1. Cysts due to the obstruction and subsequent dilatation of (a) Ducts of Ravinius. (b) Ducts of Bartholin. (c) Wharton's duct. 2. Cystic growths arising from the glands of Blaudin and Nuhn. 3. Cystic epithelial growths arising from the tractus thyroglossus, generally from the median portion. 4. Cystic accessory thyroids developing above the hyoid bone and growing into the sublingual space. The symptoms of ranulae vary with the size of the growth. The small ones may not attract any attention and may be discovered only by accident. As the cyst grows larger the pressure on the lingual nerves may cause pain. In some cases reported the growth rested on both the lingual and hypoglossal nerves, the pressure on the latter causing a paralysis of the lateral half of the tongue. Difficulty in speech develops as the growth increases in size. The hoarse and stridulous character of the voice noted in some cases has been likened to the croaking of a frog. This character of the voice is said to have given the name "ranula" to the growth causing the defect. If the tumor grows to any considerable size and the patient is young, in time an atrophy of the mandible with a deformity of the teeth occurs. These were present in a case recorded by Sonneberg. Treatment.--The only method of treatment that we need to consider is extirpation. Other procedures that have been advocated are: First, puncture with evacuation of the contents; second, puncture followed by the injection of irritating...show more

Product details

  • Paperback | 58 pages
  • 189 x 246 x 3mm | 122g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236498607
  • 9781236498601