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November 1964

Treatment of Benign Lesions Of the Larynx

Author Affiliations

Associate Consultant in Otolaryngology, University of California, Los Angeles, and Consultant, Kennedy Child Study Center, Santa Monica.

Arch Otolaryngol. 1964;80(5):571-575. doi:10.1001/archotol.1964.00750040585012

Introduction  The benign lesions of the larynx are widely diverse. They include the functional lesions of psychobiologic reaction, paralyses due to extralaryngeal disease, inflammatory masses due to vocal abuse, and true neoplasms of the intrinsic larynx. This list represents a profound challenge to the laryngologist, and the management of these abnormalities demands the use of many surgical and nonsurgical techniques.Moses1 has on many occasions called attention to the ego psychopathology of speech difficulties, and all laryngologists and speech pathologists are aware of this aspect. However, the Russian "psychoneurologists," as represented by Luria,2 have a tendency to approach speech problems from a pavlovian mechanistic and conditioned viewpoint, regarding the brain as a systems computer and the body as a device equipped with a "first signal system" (motor activity), a "second signal system" (speech), and a number of "receptor systems" which include vision and hearing. There are certain advantages

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