Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . nutrition, and is sometimes evident in advance ofsimilar manifestations in other localities. Accompanying thiscondition, there is an irregular vascularity of portions of themucous membrane, which is here and there elevated in irregu-lar ridges or welts, red in color, of a distinctly villous aspect,indicative of denuded epithelium. In some instances spots ofecchymosis are irregularly distributed beneath the mucousmembrane of the epiglottis, or in


Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . nutrition, and is sometimes evident in advance ofsimilar manifestations in other localities. Accompanying thiscondition, there is an irregular vascularity of portions of themucous membrane, which is here and there elevated in irregu-lar ridges or welts, red in color, of a distinctly villous aspect,indicative of denuded epithelium. In some instances spots ofecchymosis are irregularly distributed beneath the mucousmembrane of the epiglottis, or in the interiorof the larynx, and little irregular varices also ;and, in some of these cases, a similar conditionis observable at the angles of the palatine folds,and in other portions of the mucous membraneof the palate and pharynx. There is often a FlGgeneral swollen condition of the mucous mem- ^S^^LStabrane, but it is by no means constant. Circum- SS^^SS^scribed tumefaction is more frequent, and its S^i»ti^ in-most frequent locality is upon the exterior sur- ar-vtenoid fold-faces of the supra-arytenoid cartilages (Fig. 113), which are often. 1 Op. cit., p. 387. AFF THE AM) TRACHEA. transformed into tumid pyriforni. or irregularly rounded cush- 3, - onetimes j ale, sometimes very red, s - ---/ : and not unfrequently actually livid at the points where they— _[ether in phonation and in deglutition. Sonie- tim sore of the larynx in deglutition, and : blowing uncertain and painful. In some cases the epi-glottis is flaccid, in marked contrast to its ordinary rigid-ity. The fold of tissue between the arytenoid cartilages isalmost invariably and even char;\cteristically affected, and isusually red. often with irregular projections on its laryngeal sur-_ .dually acquire the appearance of submucous tu-mors or vei: - ndylomatous or accuminated. the growthof which Lb sometimes a selentfed, retarded duringthe i niae of the disease This laryngeal face of the meso-aiy-Loid


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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879