Los Angeles daily herald., 1888-11-27

ulcers When the acute Inflammation is moi
entirely removed 1t is likely to degenerate into
called granular disease, or it may end in al
abscess of the tonsil glands, or cause chronic
enlargement of the tonsils and elongation Of
the uvula.
CHRONIC SORE THROAT.
This like nearly all affections of the throa,
and nose, usually begins with severe cold
and Is almost always attended with boarse
ness. 1t is more frequently mere extension
OF catarrh or sore throat than an original dis
ease. the irritation escaping down and fixing
itself upon the delicate organism Of this part
and thence gradually journeying onward to
the lungs. When 1t occurs as consequence OF
paratively mild. There may be pain but it is
more common to find only a sense of tickling
which provokes cough Many complain Of a
sensation as Of som ething sticking there, to
get rid OF which they keep up Iasping effort
to clear the windpipe. The voice is always
more or less affected, being rough in the early
stage, but more feeble after the disease is fully
established There is often slight tenderness
over that prominence OF the neck known as the
Apple of Adam" (Pomnm ADAM, a heat and
sense of tightness aud frequently some slight
difficulty in swallowing.
The causes which produce this form of dis
ease are various. 1t arises in clergymen and
PUBLIC speakers and others from too violent
use of the voice. The vocal cords become ex
hausted and lose their tone from straining and
overnse. Dust and all irritating matters in the
air are liable to be drawn into tho windpipe
and produce irritation. It is more often q
extending down to the larnyx by reason of the
| continuity of mucous mem brane.
But from, whatever cause it arises it is
always serious malady. The chronic form
threatens the complete destruction of the
voice. and rarely ends until 1t has involved
the lungs in disease. Every slight cold, every
charge In the weather, every flight OF dust,
feeds the irritation and increases the inveter-
acy of it's hold.
On the other hand chronic laryngitis fire.
quently occurs as q SEQUEL of consumption.
| and is produced, or at least very much aggra-
waited, by the irritation of the expectorated
matter. Occurring as consequence of tuber-
ces, it Is one of the most distressing complica-
tions and adds greatly to the patients distress.
In this form there Is more or less liberation OF
the vocal chords. beginning On the lower side
and gradually extending upward. These ulcers
often penetrate through the mucous and cellu.
lar membranes, involving the muscular tissue
and not inireauently attack the ligaments and
carulages themselves.
When the laryngeal disease is secondary tc
that OF the lungs and dependent upon it. we
can only hope to effect q cure by those means
which Will remove its cause, and these we
have considered, and shall more fully consider
under the head of Consumption"
In addition to Inflammation, acute OF
chronic, the larynx is liable to abscesses, te
action of long continued Irritation the vocal
cords become thickened, rendering the voic,
husky and indistiDct. And again, we may
have complete loss of voice from Ialsy OF the
cords, constituting an affection known to tn,
physicians by the term of 'Aphonia." Unles
disease 1t is useless to try TO effect cure. 1t il
| for this reason that judicious inhalalions arr
successful when all other means have beef
tried without avail.