The Cleveland Medical Gazette, Vol. 1, No. 4, February 1886Various
History
The Cleveland Medical Gazette, Vol. 1, No. 4, February 1886
Various
Medicine -- Periodicals; Surgery -- Periodicals
Some time since, Mrs. G. D., age about 23, applied to me on account of
deafness and tinnitus of both ears. In pursuing my examination I found
the following unusual anatomical relations of the anterior pillars of
the soft palate, which I deem not unworthy of record.
The uvula and posterior border of the soft palate are normal in
appearance and formation; but, beginning about the middle of the
anterior pillars, these gradually widen out into thick, heavy, broad,
muscular folds, which attach themselves firmly to the sides and dorsum
of the tongue, extending two or three lines upon the dorsum. They seem
to be intimately connected with the muscle of the tongue itself, making
them very firm. The posterior pillars are much less well developed than
the anterior, and do not control or prevent the drawing forward of the
soft palate when the tongue is protruded. The tonsils are small in size
but normally located.
The attachments of these bands give a peculiar appearance to the
throat. When the tongue is in a state of rest, in the bottom of the
mouth, or, better still, when the tongue is depressed, these bands hang
like two large curtains, narrowing very much the faucial opening. When
the tongue is protruded they are put upon the stretch, and narrow very
greatly the faucial opening by drawing forward and downward the whole
of the soft palate, so that the posterior border of the soft palate and
uvula rest firmly upon the dorsum of the tongue. When the tongue is
thus protruded the attachments of these membranes are brought forward
almost to the teeth.
In a state of relaxation there is formed back of these folds, on
either side, quite a deep cavity, which often collects quantities of
solid food, to the great annoyance of the patient. She even sometimes
is obliged to remove these obstructions with the fingers, or, by
gulping or swallowing frequently, is able to dislodge them. She has no
difficulty in swallowing liquids.
There is some impediment in her speech, a peculiar lisping as if
she did not have good control of her tongue, which she has always
attributed to the fact that she is of German parentage. Her English is,
however, very good, other than as above indicated.
In looking up what anatomical literature is at my command, I find
no reference to any anomalies of this kind, although I have been
able to consult the standard French, German and English works on
general anatomy. I myself have never seen a case with an anatomical
construction approaching this, so I, therefore, present it for record.
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HINTS ON VOCAL TRAINING--THE BREATH.
By BERNARD W. FISHER, A. M.
Public-domain text, read in full here on John Shaqi.
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