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

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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$rectly by means of a brush or syringe; inhalations are generally useless, titrate of silver in 2-5 |)er eent. solu- tion, 2-4 p(!r eent. earbolie-ae,i(l solution, and eon(;ontraterl laetic aeid are used.^ lehtFiyol is an exeelient remedy in secondary catarrh and in scab-formations : Jj^. Ammon. sulpho-ichthyol., 10.0; glye(;rin., 40.0; ]. menth. pip., gtt. V. It is best aj>plied with a pledget of cotton at the end r>f an applicator; the pledget is thrown away and the applicator boiled after using. Spraying is not neces- sary, as a rule; its use is more a matter of taste. The pledget of cotton is pressed lightly against the epi- glottis from behind, so that the fluid drips down ; or it is introdii(;ed into the open glottis during respiration, when its contents are squeezed out by the approximation of the cords. Painting—that is, m(!e,}i;ini,;d rubbing in—is in- jurious, and should be avoid • 1 pt in the treatment of ulcers with (iurbolic ncid or- i,!i: j.cid, when it should be done energetically and thoroughly. For an astringent dusting-powder use alum 1 : 10, with sach. lact. or amyl trit. For disinfectants the iodin preparations, iodoform and ioflol, wvc ])rine,ipa,lly used. Dusting with these and other sitr)ilar powders is confined to open ulcers; in general, it is to be remembered that deep-seated and grave diseases, esf)ecially tiibercidosis, will not yield to such superficial and wliolly inaderpiat^ treatment, f)ut demand more energetic destructive meas- ures. The mildest form is cauterization. Lnnar canstic fusfid u{)on the end of a [)robe, or trichlorar;etic acid, will serve for (;auterizing su|)erficial ulcers of every kind, and even for more energetic procedures against hypertrophy of the e[)ithelium, so common in chronic inflafnmations. Klf'drolyHlH is a more drastic nuiasure. The; duration as well as the intc^nsity of the dose can be reguhited. A current of 15-20 ma. for five minutes is the usual dose. ' [For the less experienced reader it may be well to state that the use of lactic acid liad better be begun with a oO per cent, solution and the strength gradually inci-eased. For the earlier ai)plications previous cocainization of the larynx will be a wise precaution.—Fd.] 3$