A case of tracheotomy for multiple neoplasms of the larynx : clinical lecture delivered at Jefferson Medical College Hospital / by J. Solis-Cohen.

  • Solis-Cohen, Jacob da Silva, 1838-1927.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: A case of tracheotomy for multiple neoplasms of the larynx : clinical lecture delivered at Jefferson Medical College Hospital / by J. Solis-Cohen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    PLASMS OF THE LARYNX. CLINICAL LECTURE DELIVERED AT JEFFERSON MEDICAL COLLEGE HOSPITAL. BY J. SOLIS-COHEN, M.D„ Honorary Professor of Laryngology, Jefferson Medical College. Gentlemen,—The case that I bring before you is one which has come with a history of hoarseness culminating in aphonia, and dysp- noea culminating in several attacks of great difficulty in breathing. These suffocative attacks have been relieved by inhalations of chloro- form and the subsequent administration of emetics. The patient is, as you see, a spare young man, of dark complexion; his age is twenty- two. You hear the impediment in his breathing; and, as he replies to our questions, you note that his voice is aphonic. He is a patient of my friend, Dr. William L. Williams, of Ridgway, Pa., who brought him to me yesterday with the following clinical history : A machinist by trade, he has long been subject to spells of sore throat insufficient in importance to cause him to solicit professional counsel. For a few months he has been more or less hoarse, and for about four months his voice has been abolished. One month ago he was suddenly seized with a suffiocative paroxysm, and was nearly dead when the doctor reached him. Recognizing a spasm of the larynx, the doctor admin- istered vapor of chloroform, which relaxed the spasm. He then ac- companied the man home, and life was nearly lost in another paroxysm in transit. Under the use of emetics these paroxysms ceased, and the patient had no further trouble until Sunday last, when another par- oxysm of suffocation occurred suddenly without provocation of any kind, and was again relieved by chloroform and emetics. Yesterday Dr. Williams brought the patient to me, hoping that I could find a solution for the attacks. He had examined the patient laryngoscopically, and had noted great thickenings in the laryngeal mucous membrane. I was at first foiled in disclosing the interior of the larynx, by reason of a great depression of the epiglottis; but, on 3(34
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