. Diseases of the nose and throat . must be remembered that, with-out the explorer is familiar with the touch of the laryngeal region, itcannot be of much service. On the other hand, in this progressive age ACUTE (EDEMATOUS LARYNGITIS. 373 it should be the duty of every physician to familiarize himself with allthe methods used in the exploration of the affected parts. By the use of the laryngoscope the mucous membrane of thelarynx will be seen greatly distended. The epiglottis will be thick-ened, particularly upon its border and posterior surface. The lateralfolds of the inner larynx will be r
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. Diseases of the nose and throat . must be remembered that, with-out the explorer is familiar with the touch of the laryngeal region, itcannot be of much service. On the other hand, in this progressive age ACUTE (EDEMATOUS LARYNGITIS. 373 it should be the duty of every physician to familiarize himself with allthe methods used in the exploration of the affected parts. By the use of the laryngoscope the mucous membrane of thelarynx will be seen greatly distended. The epiglottis will be thick-ened, particularly upon its border and posterior surface. The lateralfolds of the inner larynx will be rolled out behind and to the sides ofthe epiglottis, the three forming a triangular chink in the glottic re-gion. Although the color is that of increased redness, there is a wateryand transparent cast to the tumefaction, the extent of which dependsupon the severity of the disease. When pus has commenced to form, the spot of its development will be marked by increased swelling orpointing, as well as the assumption of a lighter color.. Fig. 118.—Bosworths laryngeal knives. Prognosis. — This is always exceedingly grave. In some cases, without surgical treatment, a rapidly fatal result may be expected, arising from serous stenosis, before the disease has existed long enoughto give rise to the development of pus. Milder cases may undergo reso-lution without pus-formation, but usually they end in localized devel-opment of abscess, with discharge and recovery. The danger lies insuffocation; hence the cases should be watched with the greatest care. Treatment.—Mere local applications of any kind may be consid-ered as useless in promoting the main object of treatment: the reduc-tion of swelling. This can be accomplished, however, by free scarifica-tion of the inflamed and infiltrated tissues with a curved laryngealknife, such as Bosworths or Tobolds, guided by the laryngeal mirror(Fig. 118). Free exudation of sero-sanguineous fluid follows. This can 37-i DISEASES OF THE LARYNX. be aide