Practical remarks on throat and ear diseases. II. Treatment of goitre. III. Treatment of post-nasal catarrh in relation to deafness / by Lennox Browne.

  • Browne, Lennox, 1841-1902.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Practical remarks on throat and ear diseases. II. Treatment of goitre. III. Treatment of post-nasal catarrh in relation to deafness / by Lennox Browne. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    On her return to London, Charlotte H. visited me. The tumour had entirely disappeared, and with it every distressing symptom. Her general health had greatly improved by her stay at Woodhall, and she was about to take a fresh situation. Case vi. General Fibrous Enlargement of the Thyroid Gland, causing Dyspnoea: Unsuccessful Treatment by Counterirritation, Electrolysis, etc.: Treatment by Seton and Mineral Waters: Cure.—Sarah M., aged 13, a native of Louth in Lincolnshire, applied at the Central London Throat and Ear Hospital June 7th, 1875, on account of difficulty of breathing occasioned by enlargement of the neck. The thyroid gland had been observed to become generally and progressively enlarged for the last two years, and for the last six months breathing had been noisy and difficult. She occasionally had a cough of a laryngeal and spasmodic character. Her swallowing had not been difficult or painful; but she constantly felt a lump rising in the throat, with a general sense of constriction. Her general health was good. The bowels were rather constipated, and she had never menstruated. On examination, there was seen to be a general moderately large enlarge- ment of the thyroid gland. The neck measured 15^ inches. Ointment of biniodide of mercury was ordered, with iron tonics, and a five-grain pill of aloes and myrrh each night. In the course of two or three months, menstruation was established; but the tumour did not diminish. In January, I commenced a series of experiments with electrolysis, and pursued that treatment on this patient as well as on seven others. [I may mention, in passing, that I only got a really beneficial result in one case and partial diminution in another, both of them being simple glandular enlargement of the non-fibrous variety.] Sarah M. underwent twelve operations in four weeks, having two needles introduced each time, and a strength of from sixteen to twenty- five cells of a Stohrer’s battery. Not the least good was effected; in fact, both tumour and dyspnoea appeared to increase, so that early in March I introduced a seton right through both lobes and isthmus of the gland. The seton was retained for six weeks; and in June the patient was sent to Woodhall, where I saw her two days ago. She has been an inmate of the Woodhall Hospital for six weeks, taking the baths and water, and wearing the compress; and her general health has improved most markedly. Locally, there is still some slight ful- ness remaining, but all distress is relieved. The child plays and runs about without any trouble.