Diseases of the ear, nose and throat; medical and surgical
Wendell Christopher Phillips
Paperback
(RareBooksClub.com, May 9, 2012)
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1919 Excerpt: ... Schroetter, of Vienna, found the larynx involved in only 6 per cent.; Ileinze, of Leipzig, in 5 per cent., and Osier in 18 to 30 per cent. Parker states that 80 per cent, of larynxes are abnormal in phthisis, 50 per cent, being non-tuberculous lesions due to irritation of the cough and sputum, ami 30 per cent, to true tubercle involvement. Kidd states that in 50 per cent, of the fatal phthisis cases there is some tuberculous lesion in the larynx, and clinically he observed it in 20 to 25 per cent, of cases. Laryngeal tuberculosis is more common in men than in women, about 24 to 1, and it is very rare under ten years of age. Lake reports two cases of laryngeal infection from tuberculosis of the ear. The laryngeal invasion may occur very early in the history of lung involvement, and be unilateral or bilateral. The point of entrance is said to be through the gland ducts in the ventricles (Wood), but the path of infection may-be by direct inoculation, and also through the blood-stream. Simple lesions of the larynx are extremely common in phthisis due to coughing, which produces congestion. These abnormalities consist in anemic areas, chronic laryngitis, and abrasions, and they are due to irritation of the sputum or to the strain of coughing. Congested vessels are often seen coursing over anemic areas in the epiglottis, ventricular bands, and arytenoids, the rest of the mucous membrane being normal. Hyperemia of the vocal cords is common, even though the surrounding mucosa is anemic. The disease appears to start in the lymphatics within the larynx. The arytenoid and interarytenoid spaces are generously supplied with lymphatics, and hence are most frequently involved. Ulceration occurs early where the parts are subject to attrition, such as the cords or vocal pr...