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Surgical intervention in certain cases of tuberculosis of the larynx marks an epoch in laryngology. When Heryng, of Warsaw, and Krause, of Berlin, first promulgated their methods and results, laryngologists were generally skeptical. They bethought themselves of the numerous instances of conjoined laryngeal and advanced pulmonary tuberculosis in whom to scrape and inject, to cut and cauterize, seemed unnecessary and even cruel.
But other, more sthenic cases exist, with whom the lungs are "not appreciably" or but slightly infiltrated, without fever and cachexia—patients otherwise capable of resisting the attach of the bacillary monster, at least for years, but for a laryngeal complication.
At times the deposit of tubercular foci excites the laryngeal epithelium to proliferative activity, producing mammillated or villous neoplastoid projections, which cover by preference the inter-arytenoid region, but which may extend to other parts of the larynx, and so encroach upon its lumen as to present a choice
THE SURGICAL TREATMENT OF LARYNGEAL TUBERCULOSIS. JAMA. 1891;XVI(2):57–58. doi:10.1001/jama.1891.02410540021004
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