Practical remarks on enlarged tonsils : with a new appartus for their removal and a plate / by Abraham L. Cox.

  • Cox, Abm. L. (Abraham Lidden), 1800-1864
Date:
[1829?]
Catalogue details

Licence: Public Domain Mark

Credit: Practical remarks on enlarged tonsils : with a new appartus for their removal and a plate / by Abraham L. Cox. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    PRACTICAL REMARKS ON ENLARGED TONSILS, WITH A NEW APPARATUS FOR THEIR REMOVAL AND A PLATE Uy Abraham L. Cox, M. D. 526, Broadway Nets York. Enlargement of the tonsil is an exceedingly prevalent complaint, and is sometimes the unsuspected cause of habitual quinsy, partial deafness, a peculiar guttural change in the voice, and continual difficulty of deglutition and respiration. In many recent and transient swellings of these glands, no operation whatever is necessary, and in others of considerable tumefaction and inflammation, slight scarifications produce the most perfect relief. There are cases, however, where, from the frequent recurrence of inflammations, or from some idiosyncrasy of constitution, these tumours become permanently enlarged, and occasion the symp- toms already mentioned. Partial deafness results from the pressure of the glands upon the orifice of the eustachian tube. Difficulty of deglutition, is the consequence of the glands being themselves acted on by every attempt at swallowing. This occasions pain and inflamma- tion in the surrounding tissues, and an aggravation of all the symptoms. Sometimes the obstruction to respiration produces death. ] was told by a medical gentleman who saw the patient, that this result occurred in this city within the last two years. He said that the surgeon, who attempted to remove the swollen gland by a ligature, was forced to desist, in consequence of the patient being threatened with immediate suffocation, when an attempt was made to tighten the noose of the wire. The case was consequently abandoned, and the child became a victim to his disease. Similar danger I once saw, in the case of an old gentleman (perhaps seventy years of age) under the care of Dr. Physick, and my preceptor, Dr. Parrish, of Philadelphia. He came from the country to obtain relief from this disease, under which he had labored nearly all his life. He had pn