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
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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No text description is available for this image
No text description is available for this image![the result of acute iuflammatious (see p. 49): the symp- toms are similar, ouly not quite so severe. Many a so-called rheumatic paralysis of the recur- rent nerves is, in fact, nothing but an ankylosis of the arytenoid cartilage. The differential diagnosis will be found under the head of Hypokinesis. The treatment promises very little. Electrical stim- ulation of the muscular activity and massage of the artic- ular region constitute the only available measures. 0. CHRONIC INFLAMMATIONS OF THE PERICHONDRIUM AND CARTILAGES present exactly the same phenomena as the acute forms which we have described, and to which we therefore refer the reader (p. 49). The symptoms may be less pronounced, or, if the formation of sequestra has led to separation of the cartilages, more intense. In regard to the etiology, it must be added that both gout and arthritis deformans occasionally form deposits in the larynx whose true nature can only be recognized by their intimate relation to other unmistakable localizations. The treatment in such cases can only be general; occa- sionally, however, the gouty foci may soften and eventu- ally demand surgical interference. We have very little knowledge of this latter process. 6. COMPLICATED FORMS OF CHRONIC INFLAMMATION. (a) Tertiary Syphilis of the Larynx manifests itself in diffuse or circumscribed hifiUrations^ in swellinr/s, and in ulcerations. The latter appear either at once or after tlie two first-named conditions. The diffuse infiltration is seldom limited to the mucous membrane ; it usually j^cnetrates tlie submucosa and often extends to the muscles and to the ])erichondrium, as is proved by the marked interference with movement which occurs very early. The mucous membrane is red and](https://iiif.wellcomecollection.org/image/b21220463_0070.jp2/full/800%2C/0/default.jpg)