Clinical researches on different diseases of the larynx, trachea and pharynx, examined by the laryngoscope : preceded by historical remarks on the practical use of the laryngoscope / by Lewis Türck.

  • Türck, Ludwig, 1810-1868.
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: Clinical researches on different diseases of the larynx, trachea and pharynx, examined by the laryngoscope : preceded by historical remarks on the practical use of the laryngoscope / by Lewis Türck. 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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    affected with large syphilitic scars, and ulcers on the soft palate, in the throat, in the pharyngo-rfasal cavity, on the epiglottis. One of the two uew-growths, resembling broad condyloins was seated on the covering of the mucous membrane of the left cartilage of Santorini and the arytaenoid cartilage, aswellas on the right upper ligament of the glottis in all its length, and covered the right lower ligament of the glottis entirely. At the closing oi the glottis, the left potuberance lay like a flap over the backpart of the right one. Duringthe application ol the unction cure, they disappea- red perfectly ‘). Protuberances and small roundish new-growths of the mu- cous membrane, are furthermore, to be regarded, if they are met with in syphilitic subjects, and yield to an antisyphilitic cure, as an effect of syphilis. I have observed a case of this sort which, undoubtedly be- longed to syphilis, but w'here after the disturbance of function, in consequence of a cure by mercury, had entirely been appeased, I had no further occasion for making a laryngoscopic examination. Omitting the syphilitic perichondritis, the inflammatory swellings are^ finally to be mentioned whfch may associate wfith the syphilitic ulcers of the larynx, as well as with perichondritis, and cause an acute stenosis of the glottis. I had an occasion of observing a case of this kind. The epiglottis was strongly reddened, puffed up, and seemed to be ulcerated in the middle , the upper and lower ligaments of the glottis wmre red, and considerably sw'ollen, the glottis dangerously straightened. The mouth being opened only with difficulty, and, moreover, a good deal of secretion being accumulated, a more accurate laryngoscopic investigation was impossible, and it was still less possible to find means of discovering, if there were ulcers on the ligaments of the glottis ^). In the treatement of syphilitic affections of the Larynx, fine results are to be obtained by a moderate unction cure, and Jodide of Potas.sium. q Lately I saw still two other similar cases. q I must according to my farther observations, characterise as sy- philiticinflammationofthemoucous membrane of thelarynx those cases, where the laryngoscopical examination shows swelling with reddening or discolouring of the glottic ligaments and of the mncous membrane of other parts of the larynx, coexisting also with more or less numerous and small new-growths, and also ulcers. All these appearances of a chronic inflammation of the mucous mem- brane of the larynx, when found in syphilitic individuals, and healed by means of an antisyphilitic treatment, as I had opportunity to observe, must be looked upon as consequences of syphilis. The syphilitic catarrh of the larynx may produce a more or loss high degree of straitening of the glottis.