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2C81K5N Mock ear of a man on a white background. The concept of diseases of the outer and middle ear, otitis media. Copy space
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2C2R1XX Perichondritis with laryngeal ulceration, vintage engraved illustration.
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2C2R1R3 Tracheal and partial laryngeal stenosis following cicatrization of a gumma, vintage engraved illustration.
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2CRRBTF . Diseases of the nose and throat . orous, inspirationwas more difficult than expiration. He had no pains and could walkabout with ease; temperature, 100°. By the laryngoscope the larynxwas found to be cedematous. Both arytenoids and epiglottis were LARYNGEAL PERICHONDRITIS. 395 swollen. A7ocal cords could not be seen. By using spray of cocaineand menthol in solution breathing became slightly easier. It did notseem advisable to perform tracheotomy immediately, particularly asthe patient wanted any operation postponed as long as possible. I didnot see him again alive, as the following day he wa
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2CRP0RK . Diagnostik der inneren Krankheiten auf Grund der heutigen Untersuchungsmethoden : ein Lehrbuch für Aerzte und Studierende . ng sein. Aus dem Kehlkopf, der Trachea oderden Bronchien stammende Knorpelstücke werden zuweilen bei tiefenülceratio7ien und anschliessender Perichondritis dieser Organe ausge-hustet. Fibrinöse röhrenförmige, selten solide Bronchialausgüsse als Pro-ducte einer fibrinösen Entzündung der Bronchialschleimhaut könneneinen mehr oder weniger auffallenden Bestandtheil des Auswurfs aus-machen. Sie kommen als derbe Ausgüsse der ganzen dichotomischenVerästelung von einem grossen
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2CEYYHR . Lehrbuch der speziellen pathologischen Anatomie für Studierende und Ärzte. erichondritis ist das Analogen der Periostitis,) Ätiologie. Meist schließt sich P. an schon bestehende ulceröse Prozesse (Tu-berkulose, Syphilis, Typhus) an oder entsteht durch hämatogenen Import von Bakterienmetastatisch, ohne vorherige Ulceration, so bei Pyämie, Variola, Typhus. Sitz der Perichondritis. Am häufigsten sind die Arjknorpcl betroffen. DieSchleimhaut über denselben ist Lieblingssitz bes. für tuberkulöse ülcera. Bei der P.arytaenoidea, z. B. bei Typhus oder Tuberkulose (Fig. 110 P. a.), liegt der sequestr
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2CEYYF6 . Lehrbuch der speziellen pathologischen Anatomie für Studierende und Ärzte. d Tuberkelbaillenzu finden sind. Zuweilensind die Follikel der ersteAngriffspunkt für die tuber-kulöse Infiltration. Kommtes zum Zerfall, so bilden sichtiefe, unregelmäßige Geschwüre mit zerfressenem Rand, unebenem,mit käsig-eitrigen Massen bedecktem Grund. Diese Infiltrate und Geschwüre sitzen in den mit lockerer Submucosa und reich-licherem Folliculargewebe versehenen Stellen (Epiglottis, Taschenbänder, über den Ary-knorpeln) und führen oft zu Perichondritis. Auch fistulöse Durchbrüche kann man sehen.Nach E. Franke!
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2CEREXR . Diseases of the ear; a text-book for practitioners and students of medicine. e ear. Among professional wrestlers and boxers, the ear is fre-quently subjected to violence not sufficient to produce anacute perichondritis, but enough to cause a mild inflammationof the perichondrium, so slight as to give rise neither to dis-comfort to the patient nor to appreciable deformity immedi-ately after the injury. This chronic inflammation finally givesto the ear an appearance which is somewhat characteristic,known as prize-fighters ear, all the delicate outlines of theanterior surface of the pinna being
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2CEPTGD . Nasen-, Rachen- und Kehlkopfkrankheiten : ein Lehrbuch für Studierende und Ärzte. Fig. 16. u. 17.Kehlkopfabscesse. (Nach KRIEG.) zu den ersten, die Kehlkopfabscesse laryngoskopisch beobachtet. undendolaryngeal behandelt haben. l) Über Kehlkopfabscesse. Berl. klin. Wochensch. 1866. Xo. 44. -1. Kapitel.] Perichondritis laryngea acuta. 163 In geringerem Grade als die an den genannten Stellen sitzendenAbscesse geben die an dem Kehldeckel, besonders die an dem Kehl-deckelrande sitzenden, Anlass zu stärkeren stenotischen Erscheinungen1). Wie wir es bei der Besprechung der submukösen Khinitis septi
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2CEN0YW . Diseases of the ear : a text-book for practitioners and students of medicine. ear. Among professional wrestlers and boxers, the ear is fre-quently subjected to violence not sufficient to produce anacute perichondritis, but enough to cause a mild inflammationof the perichondrium, so slight as to give rise neither to dis-comfort to the patient nor to appreciable deformity immedi-ately after the injury. This chronic inflammation finally givesto the ear an appearance which is somewhat characteristic,know^n as prize-fighters ear, all the delicate outlines of theanterior surface of the pinna being
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2CDJXWB . Twentieth century practice; an international encyclopedia of modern medical science by leading authorities of Europe and America . dged in the glottis, andcaused death by suffocation. Pain in swallowing, swelling of themembrane covering the cartilage, lessened motion of the cords, andperhaps dyspnoea are the symptoms indicating this complication. In the event of perichondritis of the cricoid there is localized painand tenderness on pressure, alteration of the voice, and above alldyspnoea, which comes on with rapidity and usually necessitatestracheotomy. After operation the course of the dise
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2CDJB98 . Surgery, its principles and practice . -eased cartilage is excised, than if thecases are subjected to any less radi-cal plan of treatment. Othematoma.—Othematoma, ora blood tumor of the auricle, wasformerly supposed to be of idiopathicorigin, and to be found almost en-tirely in individuals of impaired intellect. At present there is strongreason to believe that these cases are really traumatic, and should beclassed as cases of perichondritis. The treatment is exactly the sameas that already outlined for perichondritis—free exploration of the cavity,excision of any exposed cartilage, suture an
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2CDJ6DA . A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . most freciueut cause is perichondritis,the various types of which are described under thatname. Quite rarely, cold and vocal abu.se influence in-fection. It may Ije due, in either the acute or the chronicform, to rheumatism, gout, and the condition termed ar-thritis deformans. It is liable to follow either internalor external traumatism. It maj be due to metastasis ofthe specific infecting organism in typhoid and other fe-vers, conjoined usually with secondary pyo
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2CDDW4H . Virginia medical monthly . s, mucouspatches, ulcerations, oedemata, hyperplasias, gommata, chon-dritis and perichondritis may occur, necessitating a differen-tiation between syphilis, phthisis and cancer. At this point, I am forced to differ from those authors,who regard certain local symptoms as pathognomonic ofsyphilitic laryngeal disease, of laryngeal cancer or phthisis;and adhere to the more liberal views of Krishaber, Heinze,Ziemssen, Schnitzler, Sechtem, Cohen and Mandl. There is no clear local sign of distinction between syphi-litic, cancerous or tuberculous growths; the diagnosis mus
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2AXJHNY Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . ged in debris or in fragments. The ary-tenoids are sometimes discharged in mass, and even the ne-crosed cricoid has been expectorated in one piece. All thecartilages are liable to this perichondritis, the arytenoid carti-lages especially, and the cricoid, and thyroid also, less fre-quently. As the arytenoid cartilages are the levers by whichthe vocal cords are moved, the free outward and inwardmotion of these structures is impeded by tumefaction
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2AXJHFH Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . FlG. 123.—Perichondritis of arytenoid cartil- Fig. 124.—Abscess from perichondritis of ary- ! in tuberculosis. Ulceration in inter-aryte- tenoid, projecting above the glottis. noid fold arytenoid fold or in the parts beneath the glottis. The peri-chondritis of the arytenoid frequently leads to abscess at itsbase (Fig. 124), which is recognized by its supra-glottic posi-tion, and which frequently discharges at the junction of thevocal process wit
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2AXJGBP Diseases of the throat and nasal passages; a guide to the diagnosis and treatment of affections of the pharynx, sophagus, trachea, larynx, and nares . Tic 12S.—Primary perichondritis of cricoid Fig. 1*29. —Perichondritis of cricoid, with loss Cartilage, abscess unopened. Anchylosis of left of right arytenoid, in a case of typhoid fever arytenoid (Tuerck). a. Inner wall of abscess. (Tuerck;. c/, Wall of abscess. Appearance day before death from pneumonia,in a case of less than three months duration, andin which the initial cause for the perichondritiscould not be made out in the post-mortem ex-
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2AWXYKT Smithsonian miscellaneous collections . , ^i Perichondritis laryngea following typhoid ; abscess opened from oesophagus andseen frora behind, a, b, necrosed and partly destroyed cricoid cartilage; betweena and b the dark spot indicates the point where the abscess communicated withthe trachea; it did not communicate with the oesophagus; c, crico-aryten. post.muscle. Tiirck, Krankh. des Kehlkopfes, p. 218, fig. 80. or of the articulation; and thus the vocal chord of that side isimmobilized, and altered voice and stenosis of the larynx follow.If an abscess form about the cricoid, it may not on
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2AWT36Y Vorlesungen über die Krankheiten des Kehlkopfes . B Zeit anhielten, bis sich erst später Athemnoth einstellte, so werden Siemit grosser Wahrscheinlichkeit ein Carcinom des Oesophagus annehmenkönnen, das allmählich auf den Larynx übergreift. Sie werden nunalle jene Momente berücksichtigen, durch welche eine Perichondritis aus-zuschliessen ist. Aber erst wenn die Geschwulst auf den Aryknorpeln bei ihremweiteren Wachsthume die rundliche Gestalt verliert, und unre^elmässigeHöcker und Leisten zeigt, ist die Diagnose des Neoplasmas gesichert. Sie sehen dies hier an den zwei Zeichnungen (Fig. 90): al
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2ANH5T4 A manual of otology for students and practitioners . Fig. 40.- -Patient showing tlio (loforniily followiiiK perichondritis.Note that the lolmle is not involved.. Fig. 41.—The opposite ear of the patient shown in Fig. 40. cartilage can be left, the operation is advisable; if not,little will be gained by it, and it is well to treat the processby free incisions and moist dressings. IMPACTED CERUMEN 105 IMPACTED CERUMEN. Causation.—The ceruminous glands are situated inand beneath the skin in the outer or cartilaginous partof the external auditory canal. They are modified seba-ceous glands and secr
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2ANF1WW Peroral endoscopy and laryngeal surgery . oose cellular tissue is most fre(|uentlv concernedin laryngeal edematous processes, .cute inflammatory stenosis may beassociated with relatively superficial mucosal and submucosal inflamma-tion or with perichondritis. These processes may be primary or maycom])licate many general diseases, especially typhoid fever, .-Iciite larynqeiil stenosis cnm/iicating typhoid fever deserves espe-cial consideration, as it is frequently overlooked and the patient is per-mitted to die without a suspicion of the laryngeal stenosis, because thesepatients, in many insta
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2AM00FG Diseases of the nose and throat; a text-book for students and practitioners . Fig. 12.>.—Mackenzies Anteko-postekior Forceps. severe inflammation, oedema, or perichondritis be induced.These results can be avoided if no attempts be made to removethe tumor without thorough laryngoscopic illumination. Al-though some operators, notably Stoerk, grasp the growth evenwhen unable to see it, calling to aid tlie memory of its exactlocation, such a procedure is not advisable, except in the handsof such experts. Growths are sometimes removed at the firstvisit, the parts being cocainized by a 4- to 2()-
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2AKX8J0 Handbuch der gesammten Augenheilkunde . ^H?e M W^Z 7. Schnitt von einem im Narbenstadium des granulösen Processes befindlichen oberen Lide, a Muskel, bb fettig entarteter Tarsus, c eine stark verkürzte Meiboinsche Drüse, dd gewucherte Papillen, e Narbengewebe der Conjunctiva, / Gewebe des Tarsus. (Zeichnung von Dr. Zartmann.) fettige Degeneration zurechnen, die sich, wie es scheint, im eigentlichenTarsus selbst entwickelt, und in ihm grosse Nester von Fettzellen setzt. (SieheFigur 3.) Diese Partien schimmern dann durch die Conjunctiva als gelbliche, ) Vogel, Ueber Perichondritis des Tafrsalkn
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2AKAJ2H A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . Fig. 79.—Laryngeal Phthisis, showing great Fig. 80.—Laryngeal Phthisis, show- thickening, with scattered ulcers. ing destruction of a large portion of the epiglottis, and general ulceration. away. At the same time perichondritis and destruction of the cartilagesoften occur, In the absence of the physical signs of pulmonary phthisis,it is not always possible to tell whether a case of laryngeal ulceration istubercular or not, especially in the absence of marked infiltration.
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2AJGGKG Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . marked, and hemorrhage is occasionallypresent but rarely severe. The ulcera-tion may extend to the perichondrium, andgive rise to perichondritis and even necrosisof contiguous cartilage. In a case re-ported by Labbe the arytenoid exfoliated,was inspired, and caused death. A formedsequestrum may be buried for years.When cicatrization occurs, stenosis almostinvariably follows. The gummatous formof laryngeal syphilis may persist formonths or even years before ulcerationappears. The necro
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2AJGFY9 Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . involve the structuresnamed. Perichondritis is, as itsname indicates, an inflam-mation of the perichon-drium. It is usuallysecondary to acute inflam-mations of the overlyingmucosa; less frequently itresults from extension ofan infectious process fromthe contiguous tissues.The condition is rarely-primary, commonly follow-ing tuberculosis, syphilis,and the more acute infec-tious diseases, such as ty-phoid and typhus fevers,smallpox, etc. Tubes leftin the trachea, probablyby continuous i
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