Atlas and abstract of the diseases of the larynx / L. Grünwald ; edited by Charles P. Grayson.

  • Grünwald, L.
Date:
1898
Catalogue details

Licence: Public Domain Mark

Credit: Atlas and abstract of the diseases of the larynx / L. Grünwald ; edited by Charles P. Grayson. Source: Wellcome Collection.

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

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    rectly by means of a brush or syringe; inhalations are generally useless. Nitrate of silver in 2-5 per cent, solu- tion, 2—4 per cent, carbolic-acid solution, and concentrated lactic acid are used.1 Ichthyol is an excellent remedy in secondary catarrh and in scab-formations : 3^. Amnion, sulpho-ichthyol., 10.0; glycerin., 40.0; 1. menth. pip., gtt. v. It is best applied with a pledget of cotton at the end of an applicator; the pledget is thrown away and the applicator boiled after using. Spraying is not neces- sary, as a rule; its use is more a matter of taste. The pledget of cotton is pressed lightly against the epi- glottis from behind, so that the fluid drips down ; or it is introduced into the open glottis during respiration, when its contents are squeezed out by the approximation of the cords. Painting—that is, mechanical rubbing in—is in- jurious, and should be avoided except in the treatment of ulcers with carbolic acid or lactic acid, when it should be done energetically and thoroughly. For an astringent dusting-powder use alum 1 : 10, with sach. lact. or amyl trit. For disinfectants the iodin preparations, iodoform and iodol, are principally used. Dusting with these and other similar powders is confined to open ulcers; in general, it is to be remembered that deep-seated and grave diseases, especially tuberculosis, will not yield to such superficial and wholly inadequate treatment, but demand more energetic destructive meas- ures. The mildest form is cauterization. Lunar caustic fused upon the end of a probe, or trichloracetic acid, will serve for cauterizing superficial ulcers of every kind, and even for more energetic procedures against hypertrophy of the epithelium, so common in chronic inflammations. Electrolysis is a more drastic measure. The duration as well as the intensity of the dose can be regulated. A current of 15-20 ma. for five minutes is the usual dose. 1 [For the less experienced reader it may be well to state that the use of lactic acid had better be begun with a 50 per cent, solution and the strength gradually increased. For the earlier applications previous cocainization of the larynx will be a wise precaution.—Ed.]