Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . and Surgical Reporter, Phila., May 1, 1S75. 646 AFFECTIONS OF THE LARYNX AND TRACHEA. duced. but in some instances as a result of the mental emotionfollowing. The methods employed for this purpose have beenvarious, often indifferent, and sometimes selected at randomfor the purpose of testing the point. They have consisted ininhalation of the vapors of chlorine, iodine, turpentine, andammonia : direct applications of cold water, tincture of iodin


Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . and Surgical Reporter, Phila., May 1, 1S75. 646 AFFECTIONS OF THE LARYNX AND TRACHEA. duced. but in some instances as a result of the mental emotionfollowing. The methods employed for this purpose have beenvarious, often indifferent, and sometimes selected at randomfor the purpose of testing the point. They have consisted ininhalation of the vapors of chlorine, iodine, turpentine, andammonia : direct applications of cold water, tincture of iodine,nitrate of silver by sponge-probang to the glottis ; the injec-tion of sprays of ice-water, sulphuric ether, sulphate of zinc, by the laryngeal syringe. In quite a large number of in-stances, even when complete aphonia had existed continuouslyfor a number of years. I have seen the voice restored by thesimple introduction of the laryngoscopy mirror, the patientbeing purposely impressed with the idea that this manipulationconstituted the operative procedure. In fact, this is themethod I adopt in cases of habitual loss of voice, often with. Fig. 190.—Mackenzies laryngeal electrodes. instantaneous effect. Where simple introduction of the mirrordoes not suffice, recourse is had to one of the other methodsindicated ; and if these are not promptly successful, resort ismade to the passage of an electric current through the negative pole^beins brought in contact with the vocalcords, or over the muscles at fault, and the positive pole beingplaced at an indifferent place upon the cutaneous surface, usu-ally in the hand of the patient, or upon the neck just over thecrico-thyroid membrane. Local electrization in the treatment of laryngeal paralysis was introduced byDr. Mackenzie, who devised special electrodes for the purpose (Pig. 190). The upper figure represents an isolated electrode to be placed within thelarvnx. a bit of sponge or kid being fastened upon the exposed


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