Herbert tells of a case resembling carcinoma of the tongue, which
was really due to the lodgment of a piece of tooth in that organ.
Articulation Without the Tongue.--Total or partial destruction of
the tongue does not necessarily make articulation impossible.
Banon mentions a man who had nothing in his mouth representing a
tongue. When he was young, he was attacked by an ulceration
destroying every vestige of this member. The epiglottis, larynx,
and pharynx, in fact the surrounding structures were normal, and
articulation, which was at first lost, became fairly distinct,
and deglutition was never interfered with. Pare gives a
description of a man whose tongue was completely severed, in
consequence of which he lost speech for three years, but was
afterward able to make himself understood by an ingenious bit of
mechanism. He inserted under the stump of the tongue a small
piece of wood, in a most marvelous way replacing the missing
member. Articulation with the absence of some constituent of the
vocal apparatus has been spoken of on page 254.
Hypertrophy of the Tongue.--It sometimes happens that the tongue
is so large that it is rendered not only useless but a decided
hindrance to the performance of the ordinary functions into which
it always enters.
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