The Journal of laryngology and otology . the larynx, and later, the nasal fossae had been affected. Examination.—There was seen, ulceration and necrosis of the carti-laginous septum of the nose, necrosis of the floor of the nasal fossae, witlia sequestrum of the size of a small nut, and behind the second premolardestruction of the palatine vault with stellar cicatrices ; cicatrized ulcera-tion of the epiglottis which was in part destroyed and deformed. Theinterior of the larynx was unrecognisable ; filled with condylomatousvegetations, principally about the glottis and the entry to the ventric
The Journal of laryngology and otology . the larynx, and later, the nasal fossae had been affected. Examination.—There was seen, ulceration and necrosis of the carti-laginous septum of the nose, necrosis of the floor of the nasal fossae, witlia sequestrum of the size of a small nut, and behind the second premolardestruction of the palatine vault with stellar cicatrices ; cicatrized ulcera-tion of the epiglottis which was in part destroyed and deformed. Theinterior of the larynx was unrecognisable ; filled with condylomatousvegetations, principally about the glottis and the entry to the ventriclesof Morgagni. The ventricular bands were irregularly hypertrophied asif they were in part formed of granulation tissue. The larynx formed asort of funnel, at the bottom of which was seen an irregular spacethrough which air passed with a whistling sound and without its beingpossible to distinguish the vocal cords, which had apparently disappeared,or were hidden from sight by the great hypertro]5h>- of the mucousmembrane (Fig. i).. J1. After a >h-av:ino by Dr. K. Botet. Cervical adenopathy of the submaxillary and lateral glands of theneck also existed, and they were hard to the touch and of the size Rkinology, and Otoloj^y. 151 of small nuts. In spite of the difticuhy of nuscultation, 1 do not thinkthere was anything abnormal in the heart or lungs. Strongly suspecting syphilis, I interrogated the patient and his mother(who accompanied him) as to any previous morbid manifestations. Themother denied any syphilitic affection ; she had nursed her child, and noone amongst her entourage had been affected with any venereal disease,and she herself had been quite free from such disorder. I, however,remarked that in questioning her she became suddenly red, and that shehesitated in her answers to some questions, besides being contradictory insome of her statements. I, however, pretended not to doubt her. Somedavs afterwards she told me that she had aborted twice, that her husbandh
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Keywords: ., bo, bookcentury1800, booksubjectear, booksubjectnose, bookyear1887
