|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesFrom The Hygienic Dictionary
Autointoxication.  the accumulations on the bowel wall be...
How Alcohol is Made. The most dangerous addition that man has...
Myocarditis Fibrous Symptoms And Signs
The symptoms of chronic myocardial degeneration are progressi...
Rupture And Trauma Of The Esophagus
These may be spontaneous or may ensue from the passage of an ...
The Temples Of Esculapius
It has been truly said that temples were the first hospital...
Nervous Strain In The Emotions
THE most intense suffering which follows a misuse of ...
The Relative Position Of The Superficial Organs Of The Thorax And Abdomen
In the osseous skeleton, the thorax and abdomen constitute a ...
Deformities Of The Urinary Bladder The Operations Of Sounding For Stone Of Catheterism And Of Puncturing The Bladder Above The Pubes
The urinary bladder presents two kinds of deformity--viz., co...
This may be felt either because the breath is actually hot, or...
Educate your eye and your fingers. Be sure you are right...
Classification Of Cardiac Disturbances
For the sake of discussing the therapy of cardiac disturban...
There is a common and very popular error, namely, that of putt...
I have little to say with regard to _diet_, at least to physi...
Mineral Acids In Case Of Severe Sore-throat
In case the throat be very troublesome, there cannot be any o...
Acidity Of The Stomach
Often caused by unwholesome food, bad or deficient teeth, or b...
Consumption Prevention Of
This most insidious and deadly disease is caused by a tiny veg...
A very useful and comparatively safe method is illustrated i...
See Child-bearing. ...
Food Combining And "healthfood Junkfood"
This brings us to a topic I call healthfood junkfood. Many pe...
Nose Bleed - Epistaxis
If it arises from fullness of the vessels of the head, with t...
Acute Stenosis Of The Larynx
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Etiology.--Causes of a relatively sudden narrowing of the lumen of
the larynx and subjacent trachea are included in the following list.
Two or more may be combined.
1. Foreign body.
2. Accumulation of secretions or exudate in the lumen.
3. Distension of the tissues by air, inflammatory products, serum,
4. Displacement of relatively normal tissues, as in abductor
paralysis, congenital laryngeal stridor, etcetera.
Edema of the larynx may be at the glottic level, or in the
supraglottic or subglottic regions. The loose cellular tissue is most
frequently concerned in the process rather than the mucosal layer
alone. In children the subglottic area is very vascular, and swelling
quickly results from trauma or inflammation, so that acute stenosis of
the larynx in children commonly has its point of narrowing below the
cords. Dyspnea, and croupy, barking, cough with no change in the tone
or pitch of the speaking voice are characteristic signs of subglottic
stenosis. Edema may accompany inflammation of either the superficial
or deep structures of the larynx. The laryngeal lesion may be primary,
or may complicate general diseases; among the latter, typhoid fever
deserves especial mention.
Acute laryngeal stenosis complicating typhoid fever is frequently
overlooked and often fatal, for the asthenic patient makes no fight
for air, and hoarseness, if present, is very slight. The laryngeal
lesion may be due to cordal immobility from either paralysis or
inflammatory arytenoid fixation, in the absence of edema.
Perichondritis and chondritis of the laryngeal cartilages often follow
typhoid ulceration of the larynx, chronic stenosis resulting.
Laryngeal stenosis in the newborn may be due to various anomalies of
the larynx or trachea, or to traumatism of these structures during
delivery. The normal glottis in the newborn is relatively narrow, so
that even slight encroachment on its lumen produces a serious degree
of dyspnea. The characteristic signs are inspiratory indrawing of the
supraclavicular fossae, the suprasternal notch, the epigastrium, and
the lower sternum and ribs. Cyanosis is seen at first, later giving
place to pallid asphyxia when cardiac failure occurs. Little air is
heard to enter the lungs, during respiratory efforts and the infant,
becoming exhausted by the great muscular exertion, soon ceases to
breathe. Paralytic stenosis of the larynx sometimes follows difficult
forceps deliveries during which stretching or compression of the
recurrent nerves occur.
Acute laryngeal stenosis in infants, from laryngeal perichondritis,
may be a delayed result of traumatism to the laryngeal cartilages
during delivery. The symptoms usually develop within four weeks after
birth. Lues and tuberculosis are possible factors to be eliminated by
the usual methods.
Surgical Treatment of Acute Laryngeal Stenosis.--Multiple puncture
of acute inflammatory edema, while readily performed with the
laryngeal knife used through the direct laryngoscope, is an uncertain
measure of relief. Tracheotomy, if done low in the neck, will
completely relieve the dyspnea. By its therapeutic effect of rest, it
favors the rapid subsidence of the inflammation in the larynx and is
the treatment to be preferred. Intubation is treacherous and
unreliable except in diphtheritic cases; but in the diphtheritic cases
it is ideal, if constant skilled watching can be had.