Diseases of the nose and throat; a text-book for students and practitioners . mbered, however, that all ofthese, save measles, may give rise to a laryngeal affection muchmore severe than a subacute catarrh. Finally, traumatic causes(inhalation of flame, steam, scalding water, etc.) may inducesubacute laryngitis.(386) SUBACUTE LARYNGITIS. 387 Pathology.—Hypersemia is the first morbid alteration, and,if at all marked, may lead to swelling and secretion. The entiremucous lining is not usually hypersemic; so that it is morepronounced in one part than another. On this account, someauthors have desc
Diseases of the nose and throat; a text-book for students and practitioners . mbered, however, that all ofthese, save measles, may give rise to a laryngeal affection muchmore severe than a subacute catarrh. Finally, traumatic causes(inhalation of flame, steam, scalding water, etc.) may inducesubacute laryngitis.(386) SUBACUTE LARYNGITIS. 387 Pathology.—Hypersemia is the first morbid alteration, and,if at all marked, may lead to swelling and secretion. The entiremucous lining is not usually hypersemic; so that it is morepronounced in one part than another. On this account, someauthors have described the inflammation as a disease of theespecial portion involved. The vocal bands are not usually uni-formly congested, or may escape entirely; they may remainunaffected after other portions of the laryngeal structure areinvolved, or suffer to the exclusion of other regions. There israrely any swelling of the tissues, although the mucosa mayappear puffy and the sharper outlines a little blurred. It is notrare to find a slight abrasion of the epithelium, which is some-. Fig. 111.—Subacute Laryngitis. times called an ulcer, but it is doubtful if a true catarrhal ulceris ever found. Stoerk has described and pictured a verticalfissure of the inter-arytenoid space, but few others have beenable to discover such a change. One case which I saw atProfessor Stoerks clinic, in Vienna, resembled a folding of themucous membrane, as frequently seen, and which almost disap-peared during deep inspiration. Symptoms.—The symptom which usually first attractsattention is a sensation of dryness, tickling, or burning; soon adeep, weak, or shrill voice develops, accompanied, perhaps, bya dry cough and aphonia. At first there is no secretion, butlater a glairy mucous discharge, which, becoming more profuse,is laden with broken-down epithelium. Respiration is not 388 DISEASES OF THE NOSE AND THROAT. interfered with, unless reflex spasm occur or the secretions dryin such a position as to encroa
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