Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . mere fissure, to necrotic destruction of all thetissues ; and between these extremes there may be every possi-ble stage of gradation. The origin of the ulceration is notalways attributable to the mere inflammation of the mucousmembrane, which is often to be regarded as consecutive toinflammation of the mucous glands, which eventually undergodisintegration, and ulcerate through it. The pressure of swol-len surfaces in the acts of phonation and co
Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . mere fissure, to necrotic destruction of all thetissues ; and between these extremes there may be every possi-ble stage of gradation. The origin of the ulceration is notalways attributable to the mere inflammation of the mucousmembrane, which is often to be regarded as consecutive toinflammation of the mucous glands, which eventually undergodisintegration, and ulcerate through it. The pressure of swol-len surfaces in the acts of phonation and cough, and some-times in mere respiration, is often the apparent cause ofulcerative action in the mucous membrane. In some cases the chronic inflammation eventuates in hyper-trophy of the muscles, connective tissue, or mucous membrane,or in fibrinous infiltration into these tissues, narrowing thecalibre of the larynx, and producing a condition of permanentstenosis. This plastic laryngitis is most apt to occur in syphi- 1 Ziemssens Cyclopedia, N. Y. Ed., IV., p. 140. 2 (Med. So., Berlin, May 17, 187G) London Medical Record, Dec. 15, 187G, p. 478 AFFECTIONS OF THE LARYNX AXD TRACHEA. litic individuals. In other cases there is atrophy of the mus-cles with consequent paresis. In many cases of chronic laryngitis, the trachea participatesin the inflammation more or less extensively (chronic laryngo-tracheitis); and in many others there is also an inactive, or asubacute inflammatory condition of the pharyngeal and nasalmucous membrane (chronic pharyngo-laryngitis). which is sometimes antecedentto the laryngeal affection, and sometimessubsequent to it. The glands at the baseof the tongue are sometimes inflamed andhypertrophied (Fig. 104). The inflammatory manifestations infig. io4. - Enlarged glands at chronic catarrhal laryngitis are usually base of the tongue. «/ c j diffuse. Sometimes they do not extendbelow the vocal cords. In some instances they are limited tospecial structur
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Keywords: ., bo, bookcentury1800, bookdecade1870, booksubjectnose, bookyear1879
