Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . dyspnoea, is very great. In a marked case of cervical tumor, ten inches in its transverse, and eleven inits longitudinal, diameter, in a young man under the care of my colleague, Dr. Gross, in Jefferson Medical College Hospital, the thyroid cartilage was dis-placed nearly two inches to the right of the middle line, and was four inchesfrom the symphysis of the chin, stretching the thyro-hyoid ligament to the lengthof two inches, and was late
Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . dyspnoea, is very great. In a marked case of cervical tumor, ten inches in its transverse, and eleven inits longitudinal, diameter, in a young man under the care of my colleague, Dr. Gross, in Jefferson Medical College Hospital, the thyroid cartilage was dis-placed nearly two inches to the right of the middle line, and was four inchesfrom the symphysis of the chin, stretching the thyro-hyoid ligament to the lengthof two inches, and was laterally six inches from the lower portion of the externalauditory meatus. The larynx was thus thrown almost into a horizontal position,extending to the sterno-cleido muscle, whence the trachea descended in a verticalline behind the clavicle (Fig. 207). Internally the tumor occupied fully two-thirds of the pharynx, and pushed the velum so far over that the uvula was TUMOKS OF THE NECK. 693 almost in contact with the posterior fold, of the palate. It reached over to thedisplaced epiglottis, on the extreme right, and prevented laryngoscopic inspec-. FlG. 207.—Great displacement of larynx and trachea by cervical tumor. (From a drawing by ) The solid lines represent the portions of hyoid bone and larynx visible externally; the dottedlines represent the outline of larynx and trachea, as readily detected on palpation. tion of the interior of the larynx (Fig. 208). Otherwise than an occasional dis-position to rest with his head leaning on the arm of his chair to relieve respira-tion, there was no evidence of dyspnoea; and there was no dysphagia.
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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879
