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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    For general treatment we will emphasize the import- ance of staying in a quiet place where the air is free from dust. Whether the treatment is symptomatic or curative, talking should be strictly prohibited, so as to insure abso- lute rest for the organ. In conclusion, let it be remem- bered that occasionally the symptomatic treatment has the effect of a curative one, agreeably surprising the practi- tioner by unexpected recovery. (Cj Leprosy of the Larynx, although only a rather unusual complication of a general infection, is important on account of the fatal stenosis which it occasions. The rigid, nodular infiltration, which is quite analogous to the phenomena in the skin, encroaches upon the lumen considerably, and the condition is further aggravated by the resulting ulcers and cicatricial contrac- tions. Mutilations of the organ from extensive tissue-destruc- tion, especially in the epiglottis, are not rare. The diagnosis is very simple, as the disease never at- tac'ks the larynx alone. Tracheotomy is the only possible treatment. (d) Scleroma is more commonly seen in Germany. Until a short time ago it was known only in the form of rhinoscleroma, which is suggestive of the important fact in the diagnosis that the larynx and trachea are always attacked second- arily. The same charactei-istic ])ale, gristle-like, wide- spread infiltrations and flat, lumpy ulcers, covered with dry pus-scabs, are seen as in the nose. The subcordal space is ])articularly liable to be attacked, so that we see thick, soft wheals projecting into the lumen. In doubtful cases the diagnosis is made certain by the presence of the characteristic bacteria in the excised tissue. So far as our present knowledge goes, any attempt to
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