Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride.

  • Gottstein, Jacob, 1832-1895.
Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    by Semeleder, a relapse of the cutaneous affection was accompanied by a return of the laryngeal disease. If the inflammation attacks the submucous tissue, the disease becomes very serious. Aphonia, dry, rough cough, dysphagia, pain in the larynx, increased by pressure, are associated with more or less marked dyspnoea. These symptoms often set in very suddenly, and may increase so rapidly that death results in a few hours. Whether in these cases there is only simple inflammation, or whether this be associated with mycosis, remains to be proved by future research. According to present experience, those cases in which the larynx is primarily attacked seem to run a more favourable course than those in which the throat affection is secondary to cutaneous erysipelas. The spread of the affection to the interior of the throat, says Mackenzie, shows greater intensity of the blood poisoning. This, however, does not apply to the simple catarrhal affection; the prognosis is then usually favourable, although even here oedema may develop suddenly. In submucous inflammation death is due either to suffoca- tion or to extension to the trachea and bronchi (capillary bronchitis). The treatment on the appearance of the pharyngeal inflammation should consist in the use of iced gargles, administration of pieces of ice, and repeated insufflations of morphia ; but, above all, the patient should be nourished by means of stimulants, etc. When suffocation threatens we may, if there be oedema, scarify the parts or perform tracheotomy.