On diseases of the throat and windpipe : as reflected by the laryngoscope; a complete manual upon their diagnosis and treatment.

  • Gibb, G. Duncan (George Duncan), Sir, 1821-1876.
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: On diseases of the throat and windpipe : as reflected by the laryngoscope; a complete manual upon their diagnosis and treatment. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    efforts at deglutition. There is hoarseness, or roughness of the voice,-which becomes increased by much talking, reading, preaching, or singing, and the irritation produced compels a cessation of the use of the vocal organs. Some slight soreness is occasionally observed about the larynx; there is an absence of cough, although there is an expectoration from the larynx and fauces of a tough, thick, opaque, and adherent mucus. On looking into the throat, the appearances at first noticed are, general enlargement of the mucous follicles at the posterior part of the pharynx, which stand out quite prominently on a red membrane in places' deprived of its epithelial covering, giving to the whole a raw or granulated aspect. The rhinoscope shows the same appearances extending upwards in many instances to the limits of the pharynx; whilst in the laryngeal mirror the mucous membrane is seen generally con- gested throughout the larynx, upon the vocal cords, whose white colour is absent, in the trachea as far as the eye can reach, and on the laryngeal surface of the epiglottis, not unfre- quently of a scarlet redness. Minute red points are commonly noticed in the situations just mentioned, which represent the follicles slightly enlarged, and in some places are observed to be pouring out fluid. With all this the membrane generally seems lax and loose, tumid, and thickened from mucous infil- tration. This condition is that which may have existed for years, remaining in a stationary character, unless aggravated by some cause or another, of which changes in temperature and undue exercise of the voice are recognised as the most active. As the disease advances, these follicles become indu- rated or ulcerated, or they secrete a muco-purulent fluid, which may cover the greater part of the pharynx or soft palate; should they become involved about the root of the epiglottis or in front of the arytenoid cartilages, or in the interior of the larynx, the general symptoms already described become aggra- vated and increased in their intensity, shown particularly by the hoarseness, pain, and soreness, with extreme debility and Ian-