The Journal of Laryngology, Rhinology, and Otology
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| Hersteller: | Forgotten Books (Wolfenden, R. Norris) |
| Stand: | 2015-08-04 03:50:33 |
Produktbeschreibung
Excerpt from The Journal of Laryngology, Rhinology, and Otology: As Analytical Record of Current Literature Relating to the Throat, Nose, and Ear The question of recommending change of clime in throat troubles calls at all times for grave consideration. Take, for example, granular pharyngitis in a patient presenting himself for the first time. To illustrate this point we may cite a case that actually occurred. The patient, suffering severely from granular pharyngitis, consulted different throat specialists. Four of these ordered him abroad at once, prior to any adequate topical treatment being carried out; the fifth (since deceased) suggested that local measures, suitable for reducing the disease, should first be employed, and that the question of a change should be subsequently considered. As a matter of fact the local measures sufficed, and the trip abroad was dispensed with. This illustration indicates the progress, not in treatment alone, but an advance in our knowledge of the nature and course of these diseases. While condemning rashness or over-zeal in treatment, the last year has shown a due appreciation of appropriate treatment well carried out. Half halting measures were rarely curative, and are often dangerous; e.g., an imperfectly removed pharynx tonsil, we have cause to believe, is most prone to give rise to trouble, heals slowly, and may readily propagate mischief to the middle ear. While agreeing with Barr to the full, we maintain that the characteristic of the treatment of the year that is past has been the increased anxiety and care with which operative measures have been employed. We question indeed if, in the domain of surgery generally, fewer untoward results occur than in the case of operations on the throat. As well take exception, therefore, to the general surgeon who, e.g., removes ovaries, and so on. Provided that the patient is safeguarded by the modern improvements in technique, is physically fit, and due after-treatment possible, then no one duly qualified need fear adopting the operative measures required. Enlarged Pharynx Tonsil. To the large amount of literary effort usually found devoted to disease of the pharynx tonsil there seems to have come a lull. Attention is directed to complete and thorough removal of every trace of the growth, more especially in the neighbourhood of the ostia tubæ, where, if remnants of growth are left, these are apt to impinge on the ostia, and, in time, form adhesions to these structures. These tense bands develop, which fix the lips of the Eustachian openings, and materially interfere with their functional activity. In adults, where natural atrophy of the greater bulk of the pharynx tonsil has taken place, still evidence of its past existence is proved by these Eustachian synechiæ, to which attention is now directed at throat clinics. That these adhesions interfere with the function of the tubes, and thus indirectly cause deafness, can be demonstrated; for often their severance and destruction at once improves hearing to a noticeable extent. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
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