. Diseases of the nose and throat . orous, inspirationwas more difficult than expiration. He had no pains and could walkabout with ease; temperature, 100°. By the laryngoscope the larynxwas found to be cedematous. Both arytenoids and epiglottis were LARYNGEAL PERICHONDRITIS. 395 swollen. A7ocal cords could not be seen. By using spray of cocaineand menthol in solution breathing became slightly easier. It did notseem advisable to perform tracheotomy immediately, particularly asthe patient wanted any operation postponed as long as possible. I didnot see him again alive, as the following day he wa
. Diseases of the nose and throat . orous, inspirationwas more difficult than expiration. He had no pains and could walkabout with ease; temperature, 100°. By the laryngoscope the larynxwas found to be cedematous. Both arytenoids and epiglottis were LARYNGEAL PERICHONDRITIS. 395 swollen. A7ocal cords could not be seen. By using spray of cocaineand menthol in solution breathing became slightly easier. It did notseem advisable to perform tracheotomy immediately, particularly asthe patient wanted any operation postponed as long as possible. I didnot see him again alive, as the following day he was thought to beeasier. The succeeding night the stertor became more severe. Thedoctor was summoned. When he arrived half an hour later the pa-tient was dead. At the post-mortem we discovered an extensive perichondrial ab-scess, extending more than half-way round the inner surface of thecricoid. A portion was to the right side, but, after extending over theanterior surface of the posterior half of the ring, it largely filled in the. Fig. 121.—Abscess of cricoid. Larynx opened from behind. The darkspot below the centre and to the left side indicates the larger opening; thelighter spot to the right, the smaller one. left side, the cartilage itself being denuded and disorganized. Theother cartilages were in no way affected (Fig. 121). I was informed by a member of the family that a brother of thedeceased died of the same trouble several years previously. Prognosis. — The immediate danger is from laryngeal chronic cases this comes on so gradually that there is time for con-sideration before operation is required. As disease of the cricoid pro-duces the most extensive swelling, it is usually attended by the mostdanger. When several cartilages are involved, the prognosis is mostunfavorable. In nearly all cases, however, life might be prolonged iftracheotomy were performed comparatively early in the disease. Thepresence of the purulent sac within the larynx would precl
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