nd sullen; the mouth remains open,
and the lower lip is rolled down and prominent; the nose has a pinched
aspect, and the roof of the mouth is high. Air drawn into the lungs
should be first warmed and moistened by passing through the nose, but
when inspired through the mouth, produces so much irritation of the
throat and air passages that constant "colds," chronic catarrh of the
throat, laryngitis, and bronchitis ensue.
The constant irritation of the throat occurring in mouth-breathers
weakens the natural resistance against such diseases as acute
tonsilitis, scarlet fever, and diphtheria, so that they are especially
subject to these diseases. But these are not the only ailments to
which the mouth-breather is liable, for earache and deafness naturally
follow the catarrh, owing to obstruction of the Eustachian tubes (see
Earache, p. 40, and Deafness, p. 38). Deformity of the chest is
another result of obstruction to nose-breathing, the common form being
the "pigeon breast," where the breastbone is unduly prominent. The
voice is altered so that the patient, as the saying goes, "talks
through the nose," although, in reality, nasal resonance is reduced
and difficulty is experienced in pronouncing N and M correctly, while
stuttering is not uncommon. Nasal obstruction leads to poor nutrition,
and hence children with adenoids and enlarged tonsils are apt to be
puny and weakly specimens.
=Treatment.=--The treatment is purely surgical in all cases of nasal
obstruction: removal of the adenoid growths, enlarged tonsils, and
polypi, straightening the displaced nasal septum, and burning the
thickened mucous lining obstructing the air passages in the nose. None
of the operations are dangerous if skillfully performed, and should be
generally done, even in the case of delicate children, as the very
means of overcoming this delicacy. The after treatment is not
unimportant, consisting in the use of simple generous diet, as plenty
of milk, bread and butter, green vegetables and fresh meat, and the
avoidance of pastries, sweets, fried food, pork, salt fish and salt
meats, also the roots, as parsnips, turnips, carrots and beets, and
tea and coffee. Life in the open air, emulsion of cod-liver oil, daily
sponging with cold water while the patient stands in warm water,
followed by vigorous rubbing, will all assist the return to health.
=SORE MOUTH; INFLAMMATION OF THE MOUTH.=--There are various forms of
inflammation of the mouth, genera
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