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T. F. Prewitt, M.D.
JAMA. 1883;I(2):48-49. doi:10.1001/jama.1883.02390020016001c.
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Read to the Section on Surgery and Anatomy.]

I do not propose to go into the literature of ranula; its mode of development, the special strictures involved, or a consideration of the differential diag nosis, but to call attention to a method of dealing with those cases that obstinately resist the ordinary methods of treatment, and which, so far as I am aware, has never been resorted to heretofore.

The methods recommended and practiced by surgeons at this day, consist either of the introduction of a seton, injections into the sac, or partial excisions of it.

Of these, almost all modern surgeons give preference to excisions of a portion of the sac—total excision being impracticable.

I have no experience with the seton, or injections, having practiced partial excisions in the cases that have fallen under my care, and always with satisfactory factory results. Having met with a case of double


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