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Updated: June 16, 2025
In my patient, however, in addition to her nasal trouble, I found an enlarged follicle about the size of a pea back of the posterior pillar of the pharynx, at the junction of posterior pillar and pharynx. This follicle was removed by a simple process, when, as if by magic, the G sharp responded and has since remained unimpaired.
The vocal cords would be held in readiness to respond instantly to the mental command, so as to assure the exact state of tension necessary. Preparation would be made to direct the "column of vocalized breath," through the pharynx and mouth, to the proper point on the hard palate.
Suggestion: The greatest diameter of the internal ear is about three fourths of an inch. In an extended course it is a profitable exercise to dissect the ear of a sheep or calf, observing the auditory canal, middle ear, bridge of bones, and the tympanic membrane with attached malleus and tensor tympanic muscle. Pass a probe from the nasal pharynx through the Eustachian tube into the middle ear.
Dermoids are found in the palate and pharynx, and open dermoids of the conjunctiva are classified by Sutton with the moles. According to Senn, Barker collected sixteen dermoid tumors of the tongue. Bryk successfully removed a tumor of this nature the size of a fist. Wellington Gray removed an enormous lingual dermoid from the mouth of a negro. It contained 40 ounces of atheromatous material.
This is followed by watery nasal secretions that become heavy and purulent within a few days. The inflammation may extend to the larynx and pharynx. The glands in the region of the jaw become hot, swollen and painful, and the animal may be unable to eat or drink.
Aneurysm of the internal carotid is of special importance on account of the way in which it bulges into the pharynx in the region of the tonsil, in some cases closely simulating a tonsillar abscess. Cases are on record in which such an aneurysm has been mistaken for an abscess and incised, with disastrous results. Aneurysmal varix may occur in the neck as a result of stabs or bullet wounds.
The external opening of the mouth is guarded by the lips, and the soft palate forms a movable partition between the mouth and the pharynx. In a condition of repose the mouth space is practically filled by the teeth and the tongue, but the cavity may be enlarged and room provided for food by depressing the lower jaw.
The fish quickly bolted into his mouth, and, although he grasped the tail with his right hand, and squeezed his pharynx with his left, besides coughing violently, the fish found its way into the esophagus.
During the act of swallowing, this closes down over the entrance to the windpipe, like a lid, and prevents the food from passing into the air-passages. Thus, there are six openings from the pharynx; the oesophagus being the direct continuation from it to the stomach. If we open the mouth before a mirror we see through the fauces the rear wall of the pharynx.
No external enlargement was perceptible; but on introducing my hand into the mouth, a large polypus was found hanging from the velum palati into the pharynx, greatly obstructing the elevation of the epiglottis and the passage of food. After performing tracheotomy, to prevent suffocation, I passed a ligature around its pedicle in the way suggested by the old anatomist, Cheselden.
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