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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    Iodoform or boracic acid 8 Powdered gum or starch 2 Muriate of Morphia 5 and of this 2 [or about 3 grains] may be insufflated. Schaffer advocates the destruction of tubercular granulations of the interarytenoid region, true and false cords, by means of the galvanic cautery; we would, however, only recommend this when they cause stricture. When stenosis is very marked, tracheotomy must be performed if relief be not obtained by incising ©edematous parts or opening peri- chondrial abscesses. We cannot close this chapter without expressing regret that the local treatment of laryngeal phthisis has not obtained the attention it deserves from physicians generally, at least, so far as our experience goes. In spite of our doubt as to being able to accomplish healing of tubercular ulcers by local measures, yet we consider Nihilism to be absolutely unjustifiable and inexcusable. A rational, careful, local treatment, for which certainly training in the use of the laryngeal mirror is necessary, may not only often alleviate, temporarily or permanently, the painful symptoms of the consumptive patient, but has also a moral effect by making the poor sufferer hope. Unfortunately, however, laryn- geal phthisis is regarded by many as a noli me tangere and the internal administration of narcotics is considered to be the utmost that can be done.