Essay on growths in the larynx : with reports, and an analysis of one hundred consecutive cases treated by the author, and a tabular statement of all published cases treated by other practitioners since the invention of the laryngoscope / by Morell Mackenzie, M.D., London, M.R.C.P.
- Mackenzie, Morell, Sir.
- Date:
- 1871
Licence: Public Domain Mark
Credit: Essay on growths in the larynx : with reports, and an analysis of one hundred consecutive cases treated by the author, and a tabular statement of all published cases treated by other practitioners since the invention of the laryngoscope / by Morell Mackenzie, M.D., London, M.R.C.P. Source: Wellcome Collection.
Provider: This material has been provided by University of Bristol Library. The original may be consulted at University of Bristol Library.
36/310 page 18
![( IS ) SECTION III. SYMPTOMS. It will be readily understood, that, as a rule, the signs and symptoms of a growth in the larynx depend in their nature and degree upon the exact situation and size of the neoplasm. Thus a growth on the vocal cords causes aphonia, or hoarse- ness ; a growth on the epiglottis produces dysphagia ; and a large tumour, wherever situated, is likely to give rise to dyspncea. Symptoms are functional* [alterations of voice, dyspncea (including stridor and paroxysmal suffocation), pain, and difficulty of swallowing], and physical (furnished by laryn- goscopy examination, by the laryngeal sound, by digital exploration, by forcible external elevation of the larynx combined with depression of the tongue, by auscultation and percussion of the laiynx, by examination of the ex- pectoration, and by the constitutional conditions). Functional Signs. Functional signs furnish very imperfect evidence, except to those who have had large experience of the cases under consideration. From the varying and peculiar character of the voice, the croupy cough, and the paroxysmal dyspnoea, the presence of a growth may be occasionally inferred, by the experienced laryngologist; but those who have not met with many laryngeal polypi would be rash to form a diagnosis from functional symptoms. It must not be forgotten, however, 1 This arrangement of the symptomatology, I have modified from Dr. Causit's most valuable work, already referred to. It appears to me to be preferable to the](https://iiif.wellcomecollection.org/image/b21447512_0036.jp2/full/800%2C/0/default.jpg)
