THE FACE. ii 



by feeling further back near the angle of the jaw, at the same 

 time pressing the gland upwards from below. 



The long ridge of mucous membrane on each side of the 

 floor contains the sublingual glands. 



We can feel the attachment of the ' genio-hyo-glossi ' 

 behind the symphysis of the jaw. The division of this 

 attachment would enable a surgeon to draw the tongue more 

 freely out of the mouth in any attempt to remove carcinoma 

 extending far back into its root. 



There is great difference in the shape of the hard palate; 

 this difference depends upon the depth of the alveolar 

 processes. In some it forms a broad arch ; in others it is 

 narrow, and rises almost to a point like a Gothic arch, and 

 materially impairs the tone of the voice. 



Throat. To examine the throat well, the nose should 

 be held so as to compel breathing through the mouth. Thus 

 the soft palate will be raised, the palatine arches widened, 

 and the tonsils and the back of the pharynx fairly exposed. 

 Pressing the tongue downwards, provided it be done very 

 gently, is also of advantage. Rude treatment the tongue at 

 once resists. The forefinger can be passed into the throat, 

 beyond the epiglottis, as low as the bottom of the cricoid 

 cartilage, and thus search the pharynx down to the top of 

 the oesophagus, and the hyoid space (on each side) where 

 foreign bodies are so apt to lodge The greater cornu of 

 the hyoid bone can be felt as a distinct projection on either 

 side. In introducing a tube into the oesophagus the finger 

 should keep the instrument well against the back of the 

 pharynx so as to prevent its slipping into the larynx. 



Pass the finger between the teeth and the cheek and feel 

 the anterior border of the coronoid process of the jaw. On 

 the inner side of this process, between it and the tuberosity 

 of the upper jaw, is a recess, where a deeply-seated temporal 

 abscess might burst, or might be opened. Behind the last 

 molar on the inner side of the upper jaw we can distinctly 

 feel the hamular process of the sphenoid bone ; also the lower 

 part of the pterygoid fossa, and the internal pterygoid plate. 

 Behind, and on the outer side of the last molar, can be felt 



