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ROBERT M. GREEN, M.D., EDITOR-IN-CHIEF

GEORGE G. SMITH, M.D., ASSISTANT EDITOR
WALTER L. BURRAGE, M.D.

For the Massachusetts Medical Society
FREDERICK T. LORD, M.D.

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VOLUME CLXXII

JANUARY – JUNE, 1915

BOSTON
THE BOSTON MEDICAL AND SURGICAL JOURNAL SOCIETY, INC.

1915

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ton.

Massachusetts Medical Society text-books of anatomy, most of it seems to be

based on the original work of Sappey, which was SYMPOSIUM ON TUBERCULOUS CER

done on children many years ago, and that

of Poirier, Cuneo, Delamere and Most. It is VICAL ADENITIS.

stated in many monographs on the subject that the tonsils drain into the superficial and deep

lymphatics, but I am unable to find any valid, COMBINED MEETING OF THE SECTIONS ON MEDI- anatomical statement for their drainage into the CINE, SURGERY AND TUBERCULOSIS.

superficial lymphatics. The superficial lymJUNE 10, 1914.

phatics drain the areas of the anterior part of

the mouth and tongue, and then pass into the I. Relation of the Tonsils, Adenoids and Other deeper chain, while all that is posterior, includ

Throat Conditions to Tuberculous Cervica) ing the entire pharynx, the post-nares, the upper
Adenitis. By Geo. L. Richards, M.D., Fall pharynx, the tonsils and the base of the tongue,
River, Mass.

drain into the deep lymphatics of the jugular II. The Treatment of Tuberculous Cervical Adeni. chain, of which there are two or three sets. tis. By Henry D. Chadwick, M.D., Westfield,

Briefly, this anatomy is as follows:—There are Mass. III. The Surgical Treatment of Tuberculous Cervical each side of the median raphe, at the junction

two principal retropharyngeal glands, one on Adenitis. * By Charles A. Porter, M.D., Bos

of the posterior and lateral surfaces of the IV. The Treatment of Tuberculous Cervical Adenitis. pharynx, corresponding to the situation of the By John B. Hawes, 2d, M.D., Boston.

arch of the soft palate, with sometimes three or V. Tuberculosis From a Dentist's Viewpoint. By more additional lymph nodes on one side or the George H. Wright, D.M.D., Boston,

other. These glands correspond to the general situation of retropharyngeal abscesses, these be

ing invariably found on one or the other side of I. the median line. They receive the lymph com

the nasal RELATION OF THE Tonsils, ADENOIDS AND OTHER ing from the mucous membrane of

THROAT CONDITIONS TO TUBERCULOUS CERVICAL fossae, and adjacent cavities, and drain into the ADENITIS.

upper glands of the internal jugular chain, pass

ing behind the vessels and the nerves. The By Geo. L. RICHARDS, M.D., FALL RIVER, MASS. general lymphatic drainage of the pharynx ends

either in the retropharyngeal glands or the inFor the proper understanding of this subject a ternal jugular chain. The glands of this chain knowledge of the anatomy and of the relation- also receive the lymph from the internal group ship of the lymphatic drainage of the tonsils, the of the sternomastoid glands. The lymphatics adenoid tissue and the pharyngeal region to the from the tonsil appear to drain into the posterior cervical lymphatics is necessary. Whereas con- lymph glands of the tongue, thence into two latsiderable space is given to this subject in various eral trunks, thence passing down the lateral wall * No paper received for publication,

of the pharynx terminating in large glands of

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