A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . was caused by a simple fibrous goitre. Goitre is,perhaps, the most frequent cause of this rare condition; it was, probably,the condition in Gerhardts case,1 though, as the abductors alone were af-fected, that case was reported as an example of paralysis of those mus-cles. The annexed cut (Fig. 89) shows how readily slight enlargementof the tissues in the neighborhood of the oesophagus and thyroid glandmay involve both the recurrent nerves. Enlargement, also, of the bron-chi
A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . was caused by a simple fibrous goitre. Goitre is,perhaps, the most frequent cause of this rare condition; it was, probably,the condition in Gerhardts case,1 though, as the abductors alone were af-fected, that case was reported as an example of paralysis of those mus-cles. The annexed cut (Fig. 89) shows how readily slight enlargementof the tissues in the neighborhood of the oesophagus and thyroid glandmay involve both the recurrent nerves. Enlargement, also, of the bron-chial glands, or the development of an abundant and dense connectivetissue in their neighborhood, occasionally gives rise to pressure on thenerves (see my case hereinafter related, and also RiegeFs case,2 in whichthe abductor filaments alone suffered). Kochs3 case is also of a similarkind. Baumler4 relates a unique case in which bilateral paralysis of thevocal cords followed a large pericardial exudation in a debilitated syphili- Tracheal cartilage ...| Thyroid gland Left recurrentlaryngeal nerve Body of the Thyroid gland. Right recurrentlaryngeal Apex of right lung Fig. 89.—Transverse Section of the Neck of a Man Twenty-five Years old, at the Height of the LowerSurface of the First Dorsal Vertebra. (From Ziemssen, after Braune.) tic subject. The phenomenon appeared to be due to pressure on bothrecurrent nerves from the crowding together of the soft parts by thepericardial exudation, a greatly enlarged heart, and distention of the rightinnominate and jugular veins. /Symptoms.—The phenomena attendant on paralysis of the recurrentlaryngeal nerves depend altogether on the seat and extent of the must not be forgotten that the recurrent nerve consists of a bundle offilaments, which supply directly antagonistic muscles, viz., the abductorsand the adductors of the vocal cords. When the nerves are uniformly in-volved, i. e., when the whole trunk
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisherne, booksubjectnose
