Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride.

  • Jacob Gottstein
Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    by nuiner«.u> thin walled capillaries and covered by layers of epithelium. Fibromata appear as hemispherical or spherical, usually pedun- culated neoplasms, having commonly a dirty white, reddish, or even dark red colour, and a more or less firm consistence. Fibromata do not occur in the larynx nearly so frequently as papilloniata, but still more often than other neoplasms. They are almost always single, and grow by preference from the cords being attached either to the upper or under surface. In size and form these tumours are subject to very great variations. We have already referred to the small nodules, ranging in size from that of a pin head to a mustard seed, which are sometimes seen on the margin of one or both cords ; they almost always occur at one spot, viz. the centre of the ligamentous portion, and should both c be affected the nodules are symmetrical. According to all authors, they are principally found in vocalists, and have hence been designated by S .erknoten r* (singers'nodules). It seems doubtful whether matter of fact over exertion of the voice leads to the formation of these nodules. We have often seen them in persons in whom this cause could be excluded : and we have now under treatment a girl of ten years ling to her mother, i> _ I child, and has never over exerted her voice in crying, etc. These nodules may often last for - without in- _ and they may also disappear spontaneously, more common form of fibroma, however, is a circumscribed tumour firmly attached by a spherical in shape, and about as i lentil, or it may be more elongated or club-shaped. As the lower attached portion of the tumour becomes thinner and longer, the fibroma becomes peduncul a im propendens). The fibroma rarely exceeds that of a hazel nut : when pedunculated lly smaller, seldom exceeding the size of a bean : in exceptional -ile tumours may attain th> a walnut. The colour may be dirty white, pale or dark red. while the aay be hard or Sistol .i-.-ally, fibr F connective ti« -lining a, while the vascularity varies in differ 1 iti nparatively rare in the larynx. When they occur they aj)]» ical, or oval projections which have a • fluctuating feeling, and are slightly transparent T Minded by a simple thick membrane, and someth in a tram >-like fluid, while again their contents may thick and viscid Cysts oked upon as tunn a - d by otion of glandular . and consequently occur most frequently in parts wha _ inds, and where these can increase in -iz.- with- hindrani the ventricles and the anterior surface of the : they rarely exceed a cherry in oata of the larynx are extremely rare. < >f thro