Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . ccumulate in the glands or in theirducts, destructive inflammatory action is set up around them,and finally the glands suppurate and leave irregularly race-and contiguous unhealthily granulating sores, whichevince little or no disposition toward repair, but remain cov-ered with an aplastic lymph irregularly distributed over theirsurfaces. In some instances the mucous membrane upon the :il cords gives way likewise, and ulcers are left upon these


Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . ccumulate in the glands or in theirducts, destructive inflammatory action is set up around them,and finally the glands suppurate and leave irregularly race-and contiguous unhealthily granulating sores, whichevince little or no disposition toward repair, but remain cov-ered with an aplastic lymph irregularly distributed over theirsurfaces. In some instances the mucous membrane upon the :il cords gives way likewise, and ulcers are left upon these structures. 3, th fib] us structure of the cord undergoes ulceration likewise. Soni- : m s. when the membrane gives at the very ._ - of the cordsin gularlyjagg 1 r toothed outline isleft, resembling a narrow sin - ol- 1 muslin, deprived of some of th^ .transverse threads. Th< - rior por- SSS*^^!^*^^^*^tion of the cord is th - r the ofTOC*i*«»safSMIiesi,e- most frequently affected. Sometimes the denuded vocal pso-ases project into the laryngeal cavity «^Fig. IIS -. even at timeswithout involvement of the bodies of the arytenoid car::.. _ -. 504 AFFECTIONS OF THE LARYNX AND TRACHEA. The unhealthy viscid secretions of the larynx and bronchi, andthe pulmonary sputa, readily adhere to these projections, andaccumulate there, irritating the membrane and the glands,and perhaps become in part absorbed and actually lead to thefollicular ulceration, as originally suggested by Louis. Theirpresence excites frequent occasion to clear the glottis and inter-arytenoid fold from clumps of adherent mucus which produceirritation and irrepressible cough. The lateral walls of thelarynx soon undergo augmented tumefaction, and the ven-tricular bands project, sometimes on both sides, but morefrequently on one side only, so as to overlap the vocal cordsmore or less completely; their borders approximate in clos-ure of the glottis before those of the vocal cords themselves,sometimes, indeed, vibrati


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