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