Essays on ear and throat diseases : ear disease in childhood, ear disease and life assurance, certain peculiar aural and cerebral symptoms, diseases of the tonsils and uvula requiring operation / by Llewwlyn Thomas.

  • Thomas, Llewelyn.
Date:
1878
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Licence: Public Domain Mark

Credit: Essays on ear and throat diseases : ear disease in childhood, ear disease and life assurance, certain peculiar aural and cerebral symptoms, diseases of the tonsils and uvula requiring operation / by Llewwlyn Thomas. Source: Wellcome Collection.

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    It is not at all uncommon to find the uvula bifid at its extremity, or the cleft may extend as far as its base; this condition constitutes the slightest form of cleft palate, and as I am not aware that it •ever produces any inconvenience or alteration in the voice, no operation is required. In certain rare cases, no evidence of the rudimentary existence even, of a uvula could be discovered * CEdema of the uvula occasionally comes on quite suddenly from cold, without any symptoms in the tonsils or larynx, and the swollen organ may produce considerable distress ; scarification gives great relief, or a portion of the uvula may be removed, care being taken to allow for shrinking, and therefore not to remove too much. CEdema of the uvula in the course of diphtheria may be a source of considerable danger to the respiration, * Whatever the extent of fissure there is generally more or less of the hard and soft palate observable on each side, yet there are even exceptions to this rule ; thus, I find reported « two cases of total 1 absence of the uvula, one in a Hindoo girl, and another in the practice of Mr. Wallace, at Bow,' and M. Ancelet refers to an example in which there was a total absence of the soft palate in a child. A patient was under my care in the hospital, aged 6, who had a congenital fissure extending through the soft palate, and involving the hard to a very slight degree, but there was not a vestige of uvula on either side, the soft palate being continuous on either side with the pharynx. It is further of interest to note in connection with the case, that the childs voice ivas not very much impaired •On Hare-lip and Cleft Palate p. 55, by Francis Mason, London, 1877.