Chronic diseases of the larynx : with special reference to laryngoscopic diagnosis and local therapeutics / By Dr. Adelbert Tobold ... Tr. from the German and ed. by George M. Beard ... With an introduction on the history and art of laryngoscopy and rhinoscopy ... by the editor.

  • Tobold, Adelbert, 1827-1907.
Date:
1868
Catalogue details

Licence: Public Domain Mark

Credit: Chronic diseases of the larynx : with special reference to laryngoscopic diagnosis and local therapeutics / By Dr. Adelbert Tobold ... Tr. from the German and ed. by George M. Beard ... With an introduction on the history and art of laryngoscopy and rhinoscopy ... by the editor. 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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    removable by other methods), with the view of gradually destroying the remainder by subsequent cauterization with nitrate of silver or chromic acid. The attempts that have been made to perform operations under the guidance of the laryngoscope, while the patient was narcotized by chloroform, have not thus far been successful. The principal reason is, that on account of the lack of co- operation of the will of the patient, the opening of the mouth and stretching out of the tongue are not accomplished satisfactorily. On the other hand, in attempts of this kind, we are justly fearful lest, through the protracted irritation, by instruments, of the larynx, and especially of the vocal cords, there may be caused a fatal attack of laryngo-spasms, since, indeed, it is well known that the general anesthesia caused by chloroform does not extend to the throat and larynx. [Reference is here made to the author's method of operat- ing on the larynx, after a previous tracheotomy under chloroform, contained in the Berlin Klinischen AVochen- schrift, Jan. 1861.] 5. Cauterization.—So soon as a neoplasm gets into such a condition that the method of operation above described can not be employed in any way, or, as is most frequently the case, that the patient can not muster enough courage and persever- ence to endure the inconveniences and pains of a protracted laryngoscopic procedure, it only remains to attempt to destroy the local disease by cauterization. This is, as a rule, less un- pleasant and less frightful. Of course, it is to be employed only when an immediate removal of the growth is not indicated. This procedure consists in the introduction of solid or fluid cauterizing substances into the cavity ot the larynx, and thereby gradually diminishing the size of the new formations. It demands, usually, a considerable time. On this point we insist particularly, because those who are wanting in experience in this practice, easily give themselves up to the illusion that the whole procedure can be ended as quickly as the removal of papillomata on the tongue, or of warts on the hand, by means of a stick of nitrate of silver.