Two cases of complete laryngeal stenosis produced by wounds of the larynx in attempted suicides, treated successfully by means of Tupelo dilators; also a case of syphilitic stenosis treated in the same way / by David Newman.

  • Newman, David, 1853-1924
Date:
[1888]
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Licence: Public Domain Mark

Credit: Two cases of complete laryngeal stenosis produced by wounds of the larynx in attempted suicides, treated successfully by means of Tupelo dilators; also a case of syphilitic stenosis treated in the same way / by David Newman. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    Reprinted from the Glasgoio Medical Joijrnal for October, 1888.] TWO CASES OF COMPLETE LARYNGEAL STENOSIS PRODUCED BY WOUNDS OF THE LARYNX IN ATTEMPTED SUICIDES, TREATED SUCCESSFULLY BY MEANS OF TUPELO DILATORS; ALSO A CASE OF SYPHILITIC STENOSIS TREATED IN THE SAME WAY. By DAVID NEWMAN, M.D. c Complete laryngeal or tracheal stenosis is so uncommon as a consequence of wounds of the neck, that the two cases first referred to in this paper are worthy of being recorded. The treatment adopted was not only novel but also satisfactory. The first case was that of a woman, aged 32 who was admitted into the Ward for Diseases of the Throat in the Glasgow Royal Infirmary, in February last. On enquiry, it was found that three months previously she had attempted to destroy herself by cutting the windpipe immediately below the cricoid cartilage. The wound extended transversely across the trachea, so as almost completely to separate it from the larynx. After the injury was inflicted, a trache- otomy tube was inserted by a medical attendant, and retained m position. When admitted to the Ward, a wound was seen in the neck through which a moderate sized tracheotomy tube was passed, on the removal of which a firm cicatrix was found to encircle the opening, and extend laterally for a distance of half an inch. On laryngoscopic examination, the epiglottis was found to be distorted and dragged backwards and downwards, so that it was with considerable difliculty that the larynx was seen. After repeated and careful examination, the interior of that cavity was found to be occupied by a mass of firm cicatricial tissue, which extended from the level of the true cords to that of the tracheotomy wound, a distance of about three-quarters of an inch.