Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . lanl. and intra-thora _ >wths. r.—The symptoms of compression thna exei is Ispiration, in mark - - amonnti g t lyspncea, with pro! g I inspirat . and in - Ling 1 - i. Ins xysma of suffocation are frequent and prolongs L I a tumor in inity w the suspicion of compression of the trachea, if dyspnoea- it Still, this - >m might exist as the result of c ssi i of the n is trunk, independently of any mechanical interference with the I . Compressio
Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . lanl. and intra-thora _ >wths. r.—The symptoms of compression thna exei is Ispiration, in mark - - amonnti g t lyspncea, with pro! g I inspirat . and in - Ling 1 - i. Ins xysma of suffocation are frequent and prolongs L I a tumor in inity w the suspicion of compression of the trachea, if dyspnoea- it Still, this - >m might exist as the result of c ssi i of the n is trunk, independently of any mechanical interference with the I . Compression of the main 11 ot the inferior laryng - old in like man- entail aphonia. Lition which may therefore coexist . the trachea from the outs:Externa] tumors are 1 by ins] >n and palpat: intra-tfa re y auscultation and ; —ion of the -t. The blocking of the calibre of the trachea by the en-I of the tumor can often be distinctly ol - 1 inthe laryng - >pic mirror, and this is the most accurate _in the diagnosis. Tuerckl nieiiti is e ses of this and depicts the in; g - seen in the laryngos mirror. In ronchocele examined Laryng - pically op ... STENOSIS OF THE LARYNX AND TRACHEA. 595 myself,1 the inward bulging of the tracheal wall, principallyon the left side, was distinctly visible, although the tumor waslarger externally on the opposite side; and this observationwas confirmed by the post-mortem examination. The actionof the glottis during the paroxysms of excessive dyspnoea, asI have seen it in several instances, is spasmodic. It does notclose, but remains more or less widely open,and an additional spasmodic dilatation takesplace with each inspiration ; and if this is for-cible, the vocal cords vibrate in the effort. Thewhole interior of the larynx seems stretched toits uttermost, as by some encircling externalforce, the epiglottis thrown stiffly up, the ven-tricular bands retracted, the ventricles prom- tionFo?trachea byaneu-inent, the vocal cords tense, and the opening S^
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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879
