Atlas and abstract of the diseases of the larynx / by L. Grünwald ; authorized translation from the German edited by Charles P. Grayson.

  • Ludwig Grünwald
Date:
1902
Catalogue details

Licence: Public Domain Mark

Credit: Atlas and abstract of the diseases of the larynx / by L. Grünwald ; authorized translation from the German edited by Charles P. Grayson. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    local applications, may accomplish a good deal, and it is the latter that is too often neglected. A patient suffering from laryngeal trouble should not be allowed to talk, any more than a man with a sore foot is allowed to walk : the first requisite for the cure of an inflamed or injured organ is absolute rest, which incidentally removes one of the commonest causes, overexertion. Loud talking should, therefore, be forbidden altogetlier; the patient should converse as little as possible and always in a whisper.^ The only exceptions are certain psychical or essential paralyses, when it is desired to restore the functional activity of the organ. Smoking and drinking, and the eating of highly seasoned food, must be restricted or prohibited entirely, at least in the acute and subacute stages. The digestion must be regulated; this is of no small importance, as constipation tends to aggravate peripheral hyperemias. Cough due to disease of higher or deeper adjoining organs (nose and throat, lungs and bronchi) must be checked as much as possible, for it is one of the worst meclianical irritants of the larynx. Still more injurious is the hawking so often excited by disturbances of secretion in the upper air-passages (nose and nasopharynx). Combined with the dri])ping of ])us and mucus on the laryux from above, it is one of the commonest causes of the various forms of chronic laryn- geal catarrh. The first step in the treatment of this dis- ease, therefore, should be a careful examination of the upper organs; often the entire treatment may consist ex- clusively in removing anomalies in those organs. • Local treatment is indicated ifrst, in the comparatively rare primary diseases of the larynx ; second 11/, whenever mechanical alterations require mechanical interference. Liquids, especially astringents, should be applied di- ^ [If even tlie privilege of wliisperinj? is permitted, it is too often apt to be abused. Besides, whispering is but little, if at all, less ob- jectionable than actual phonation.—Ed.]
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