. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . tion of a solution of nitrate of silver (gr. xx. or xxx. to the ounce),or the insufflation of iodoform or iodol, will very mate-rially assist in the healing process and moderate the offen-siveness of the breath. Vegetations may require the useofthe curette, forceps, galvano-cautery, or chromic acid,to hasten their disappearance. Neither general norlocal treatment avails when tibroid changes with exten-sive hypertrophy have already taken place. The localtreatment o


. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . tion of a solution of nitrate of silver (gr. xx. or xxx. to the ounce),or the insufflation of iodoform or iodol, will very mate-rially assist in the healing process and moderate the offen-siveness of the breath. Vegetations may require the useofthe curette, forceps, galvano-cautery, or chromic acid,to hasten their disappearance. Neither general norlocal treatment avails when tibroid changes with exten-sive hypertrophy have already taken place. The localtreatment of adhesions and of fibrous bands or mem-branes, and of stenosis of the larynx, is dealt with inthe preceding article, to which the reader is referred. AVhen syphilis and tuberculosis coexist it is generallyagreed that the syphilitic element should first receivetreatment. In all forms of syphilis of the larvnx smok-ing and the use of alcohol in anv form should be prohib-ited. Syphilis of the Tr.\ciie.\ axd Broxciii. The trachea and bronchi are less frequently involved inthe syphilitic process than are the upper portions of the. Fig. 3130.—Extensive Ulceration and Cicatrization of the Larynxand Trachea. (TUrck.) respiratory tract. It is rare to find these regions involvedwithout existing lesions in the remainingportion of therespiratory tract, for usually the conditions here foundare extensions of the jjrocess existing above. Mucouspatches have occasionally been met with and may befound situated in any portion of the trachea. Gummata,in the writers experience, are more frequentlj- met with;they are usually single, although occasionally several Uo liarynx. REFERENCE HANDBOOK OF THE MEDICAL SCIENCES.


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