File:A text-book of diseases of the nose and throat (1907) (14763497984).jpg

Identifier: textbookofdise00kyle (find matches)
Title: A text-book of diseases of the nose and throat
Year: 1907 (1900s)
Authors: Kyle, D. Braden (David Braden), 1863-1916
Subjects: Nose Throat
Publisher: Philadelphia, London, W. B. Saunders Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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of bougies, isthe most rapid and satisfactory method. Tuberculous stenosis is rarely ever cicatricial, as the tu-bercular process does not tend to heal. The only danger isfrom the edema. The healing in lupus, however, will formstenosis and cicatricial bands, the scar-tissue being very firm andunyielding. I/Upus.—The narrowing of the laryngeal aperture, due to cica-trization of an old lupus-involvement, is characterized by a gen-eral matting together of the parts, which may be to the extentof the formation of a pin-hole aperture. The tissues are gener-ally anemic, except where small rosy nodules give evidence ofacute inflammation. The symptoms are out of proportion to theactual appearance; difficulty in swallowing and breathing areusually absent, and there is not often great modification of thevoice. The situation of the lupous web is generally supraglottiswhile in syphilis or tuberculosis the structures below and at thelevel of this aperture are generally attacked. Lupus of the face
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Fig. 160.—Mackenzies laryngeal dilator. that is questionably diagnosticated may be confirmed by laryngealexamination. The prognosis is generally not so grave as for the other con-ditions mentioned, as the deposit may undergo a spontaneous hut,gradual atrophy, which may he complicated by a later change ofcondition to actual true tuheivulosis. The severity of the narrowing should determine the ti-eatment.The dense, elastic character of the scar-tissue renders intubationof little permanent value, and simple dilatation is ineffectualunless coupled with cutting or slitting of the web. 580 DISEASES OF THE LABYNX. Oneration within the larynx in the nature of cutting or incisingthe toneshou 1 not be undertaken until all signs of mflamma-tionCe appeared, and in no case unless there ,s an absolute n^o^To^iar^~prosy occurs latein the^andS only be considered tb suggest the necess.ty ot traeheot-ouiy to prevent asphyxia. INFLAMMATORY DISEASES OF THE LARYNX.COUGH.One of the most troublesome and f

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