Diseases of the nose and throat; a text-book for students and practitioners . 458 DISEASES OF THE NOSE AND THROAT. and either gray or pinkish in color, they usually spring from thevocal bands and vary in size from a mustard-seed to an Englishwalnut. In some instances they completely fill the laryngealcavity and invade the parts above or below. Although nearlyalways sessile, laryngeal papillomata are sometimes peduncu-lated. It has become customary to speak of a papillomatousgrowth, but in reality it is generally more correct to speak of amass of these growths, which usually starts as a single


Diseases of the nose and throat; a text-book for students and practitioners . 458 DISEASES OF THE NOSE AND THROAT. and either gray or pinkish in color, they usually spring from thevocal bands and vary in size from a mustard-seed to an Englishwalnut. In some instances they completely fill the laryngealcavity and invade the parts above or below. Although nearlyalways sessile, laryngeal papillomata are sometimes peduncu-lated. It has become customary to speak of a papillomatousgrowth, but in reality it is generally more correct to speak of amass of these growths, which usually starts as a single point,often as a spot of granulation tissue. When touched with aprobe the neoplasm will be found rather soft, insensitive, and,on rather firm pressure, frequently bleeds. Treatment.—Medicines internally and locally applied curemany cases, but mechanical interference is frequently instruments chiefly used are forceps, scissors, knives, snares,. Fig. 121.—Papillomata in a Boy. Re-moved BY EnDOLAKYNGEAL METHOD. Sevex Years Following Tracheotomy.(See Hahncmannian Monthljj, Nov., 1888.)


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