Lyford speaks of enlargement of the tongue causing death.
The above conditions are known as macroglossia, which is a congenital hypertrophy of the tongue analogous to elephantiasis.

It is of slow growth, and as the organ enlarges it interferes with deglutition and speech.

It may protrude over the chin and reach even as far down as the sternum.
The great enlargement may cause deformities of the teeth and lower jaw, and even present itself as an enormous tumor in the neck.

The protruding tongue itself may ulcerate, possibly bleed, and there is constant dribbling of saliva.

The disease is probably due to congenital defect aggravated by frequent attacks of glossitis, and the treatment consists in the removal of the protruding portions by the knife, ligation, the cautery, or ecraseur.
Living Fish in the Pharynx .-- Probably the most interesting cases of foreign bodies are those in which living fish enter the pharynx and esophagus.