Diseases of the nose and throat; a text-book for students and practitioners . getations. Thuja is, perhaps, the nearest similar, and has curednumerous cases. Locally and internally. Compare ars., calc. phos., psor., and rhus tox. FIBRO-CELLULAR TUMORS OF THE LARYNX. 459 Fibromata (fibrous tumors) are less frequent than papillo-mata. The former consist of white fibrous tissue. They arepedunculated, smooth in outline, pinkish or red in color, quitehard and resilient to the touch, and in size comparable to thepapillomata. These neoplasms do not bleed easily, are somewhatsensitive, but, like the w
Diseases of the nose and throat; a text-book for students and practitioners . getations. Thuja is, perhaps, the nearest similar, and has curednumerous cases. Locally and internally. Compare ars., calc. phos., psor., and rhus tox. FIBRO-CELLULAR TUMORS OF THE LARYNX. 459 Fibromata (fibrous tumors) are less frequent than papillo-mata. The former consist of white fibrous tissue. They arepedunculated, smooth in outline, pinkish or red in color, quitehard and resilient to the touch, and in size comparable to thepapillomata. These neoplasms do not bleed easily, are somewhatsensitive, but, like the warty growths, generally spring from thevocal bands. According to the present state of clinical ex-perience, remedies have less influence than upon the formervariety. Treatment.—Strong forceps, the knife, and galvano-cauterywill be found the best instruments for removing these are not wanting in which bronchotomy has been imper-atively demanded, for the relief of dyspnoea, both in fibrous andwarty growths of the larynx; in at least one such case reported. Fig. 123.—Papillomata in an Inveterate Drinker of Alcoholics. by J. F. Baldwin {Neic Yorh Med. Record), tlie operation wasaverted and the tumor absorbed by intubation. After the pa-tient has sufficiently recovered from the effects of a tracheotomy,it is best to attempt removal of the tumor by the endo-laryngealmethod; if tliis absolutely fail, the larynx may be divided andthe tumor extracted. The dangers of tliis operation are j)neu-monia and, more frequently, a permanent Jioarseness or loss ofvoice. Compare bell., cak:. plios., conium, and silica. Fibro-cellular tumors (true polypi or soft fibromata) arerarer than either of the preceding varieties. They are usuallyquite small, smootli, rather hard, red, semi-transparent, sessile, 460 DISEASES OF THE NOSE AND THROAT. and spring from the vocal bands. The same treatment is to beused here as in the preceding class, although tracheotomy israrely indicated. Dr.
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