A treatise on the diseases and surgical operations of the mouth, and parts adjacent; with notes of interesting cases, ancient and modern / Translated from the French of M. Jourdain.

  • Anselme Jourdain
Date:
1849
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the diseases and surgical operations of the mouth, and parts adjacent; with notes of interesting cases, ancient and modern / Translated from the French of M. Jourdain. Source: Wellcome Collection.

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    excellent health; she was now sixty. The pulse was hard and feeble, and the symptoms of weakness and prostration, which shortly after supervened, seemed to announce approaching death. The Journal closes the case at this point. CHAPTER SEVENTH. DISEASES OF THE SALIVARY DUCTS. I shall, for the sake of greater clearness, devote a chapter especially to the consideration of the wounds, ulcers, tumors and resulting fistulas of the salivary ducts, which, as Verduc says, occasions such inconvenience and annoyance. These ducts will, in an excited state of the glands, pour forth a copious secretion, which we call ptyalism: or again, from obstruction or inactivity, they will fail to discharge a proper quantity of saliva-—a symptom very common in scorbutic chil- dren at Lyons, in whom the mesenteric and other glands are found enlarged and scrofulous. This suppression, according to some authors, frequently occasions epilepsy and convulsions, by the pressure of the tumid glands upon the nerves, and gives rise to king’s evil. The cure of these affections by mercurial salivation is evidence in favor of the position. The prognosis of diseases of the salivary ducts is uncertain and their cure difficult. Wounds, both of the duct and the gland, should, if possible, be united by absorbent and adhesive plasters. Some advise, in case the wound is across the duct, and large, that the actual cautery be used : but we think this tends rather to the establishment of incurable fistula. Perhaps it might be applied with advantage near to the gland, for in this position the salivary ducts have not as yet united into a single tube, consequently the obliteration of one or more will not necessarily cut off the flow of the saliva into the mouth. It is this continuous flow from the glands that gives such ob- stinacy and annoyance to salivary fistulas, wherever, from any 27* i
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