The prognosis is grave, complete restoration of the parts being impossible.
The treatment differs in no respect from that given in the preceding instance. It is of little value.
Imminger and Pflug have also described a deep-seated nodular sclerosing glossitis, characterised anatomically by the existence in the depth of the tongue of fibrous nodules, varying in size between a small nut and a fowl’s egg. The tongue is only slightly increased in size.
This disease may perhaps be due to actinomycosis.
CHAPTER II.
DISEASES OF THE SALIVARY GLANDS, TONSILS AND PHARYNX.
PAROTIDITIS (PAROTITIS).
The term “parotiditis” indicates an inflammatory condition of the parotid gland. Of this disease several forms exist. The disease is termed simple when due to accidental causes or infections, specific when resulting from some special disease germ like the ray fungus. Anatomically, these diseases consist in inflammation of the glandular parenchyma and connective tissue stroma which surrounds the acini.
ACUTE PAROTIDITIS.
Causation. The causes of acute parotiditis are varied. Mechanical violence or contusions (due to collisions with fixed bodies, horn thrusts, or blows from the ox-goad) may produce it, the glandular parenchyma and connective tissue separating the acini or the peri-glandular tissue being torn, crushed, lacerated, and often also directly infected in consequence of the injury. Ascending infection through the medium of the salivary ducts represents a second possible cause of the disease.