Diseases of the nose and throat; a text-book for students and practitioners . ts attention is the decided dryness and stiffness of thepharynx, especially during empty deglutition; when swallowingfood, the first mouthful may cause annoyance, but the throatsoon becomes lubricated and the meal is finished in comfort; atits conclusion there is a decided sense of relief. Owing to the ATROPHIC PHARYNGITIS—PHARYNGITIS SICCA. 187 loss of muscular tone, the epiglottis often participates andremains partially erect; on that account food often passes intothe larynx and elicits reflex cough and spasm. This
Diseases of the nose and throat; a text-book for students and practitioners . ts attention is the decided dryness and stiffness of thepharynx, especially during empty deglutition; when swallowingfood, the first mouthful may cause annoyance, but the throatsoon becomes lubricated and the meal is finished in comfort; atits conclusion there is a decided sense of relief. Owing to the ATROPHIC PHARYNGITIS—PHARYNGITIS SICCA. 187 loss of muscular tone, the epiglottis often participates andremains partially erect; on that account food often passes intothe larynx and elicits reflex cough and spasm. This mishap isaided by the insensitive condition of the membrane lining theepiglottis and the upper part of the larynx. As stated, the pharynx is glazed in appearance; at first,atrophy occurs at numerous points, but as these spread the pos-terior portion may present pale, vertical streaks, due to loss ofthe mucous and glandular tissues and the exposure of theunderlying fibrous structure. Later, the entire pharynx maypresent a peculiar, white, sclerosed, glazed appearance. At. Fig. 63.—Whitall, Tattjm & Vaselin Atomizer. times small particles of adherent, tenacious, dry mucus appearupon the surface; at others the greater part of the pharynx iscovered, the discharge trickling from the posterior nares. Prognosis.—The natural inference would be that such acondition could not be much improved; but this is not alwaystrue, especially in young subjects. When well advanced inyears temporary improvement is all that need be anticipated. Treatment.—Treatment should be directed to the nose andnaso-pharynx, as well as to the directly local and constitutionalcondition. The pharynx should be kept thoroughly cleansedwith some slightly irritating solution for the purpose of excitingthe atrophic tissue to greater activity. To this end Hydrastis 188 DISEASES OF THE NOSE AND THROAT. canadensis goes a long way; the muriate of ammonia, iodine,and chloride of zinc also prove efficient. These
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