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Updated: June 5, 2025
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.
That peculiar throaty aspirate the Frenchman gives to the first syllable, as though it were spelled trhoque, is utterly beyond the Chinese and beyond the American, too, whose idea of the tonsillar aspirate leads him to speak of the trochedeero, naturally falling back upon troches to help him out of his laryngeal difficulties."
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