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Among the numerous remedies used in the treatment of tubercular laryngitis the following are the most prominent: lactic acid, guaiacol, iodoform, various remedies such as the zinc and copper compounds introduced by means of cataphoresis, and latterly formaldehyde. It seems proven that lactic acid is decidedly most efficient upon the ulcerated tubercular tissues, but there is no proof that it penetrates beyond the unbroken membrane. Recognizing this fact Heryng has recommended the scarification of the tissues before its application. Following a thorough application of lactic acid there is considerable pain after the effects of cocain have worn off, which lasts for many hours and is exceedingly distressing in some cases. As to the advisability of curetting the unbroken structure and introducing lactic acid there is considerable doubt. In my own experience, owing to late methods of treatment, I have limited the use of the curette to indolent tubercular ulcers, in
GALLAHER TJ. FORMALDEHYDE. ITS USE IN THE TREATMENT OF TUBERCULAR LARYNGITIS. JAMA. 1899;XXXII(9):476–477. doi:10.1001/jama.1899.92450360026001n
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