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November 25, 1893

EIGHT CASES OF SYPHILITIC STENOSIS OF THE LARYNX CAUSED BY WEB FORMATION, OPERATED BY MY METHOD OF COMBINED TUBAGE AND THE KNIFE.Read in the Section on Laryngology and Otology, at the Forty-fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(22):796-798. doi:10.1001/jama.1893.02420740006001a

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Syphilitic stenosis of the larynx usually presents to us a pathologic narrowing of its passage, and so to a large degree acts as an interference to free respiration, and thus becomes a condition of alarming danger. Little attention was paid to the pathology of this form of stricture or stenosis, and much less special attention to its treatment in the early years of the century. Nevertheless, in 1828 we find the great Liston dilating strictures of this kind after performing preliminary tracheotomy, through the tracheal opening, and about that time, too, Bouchut and Horace Green began to operate in a similar way, believing that all forms of stenosis were amenable to treatment by dilatation by means of tubes passed through and held between the stenosed parts. Their theories and practices met with much support by the surgeons of that day. Even Trousseau once thought of practicing it, but somehow it

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