Active and persistent antiluetic medication must precede and

accompany any local treatment of luetic laryngeal stenosis. Prolonged

stretching with oversized intubation tubes following excision or

cauterization may sometimes be successful, but laryngostomy is usually

required to combat the vicious contraction of luetic cicatrices.

Scleroma is rarely encountered in America. Radiotherapy has been

advocated and good results have been reported from the intravenous

injection of salvarsan. Radium may be tried, and its application is

readily made through the direct laryngoscope.

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