The Journal of Laryngology and Rhinology最新文献_第10页

The Journal of Laryngology and Rhinology Pub Date : 1890-02-01 DOI: 10.1017/S1755145500148596

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The Chloroform Question and the Report of the Second Hyderabad Commission 氯仿问题和第二届海得拉巴委员会的报告

The Journal of Laryngology and Rhinology Pub Date : 1890-02-01 DOI: 10.1017/S1755145500148547

{"title":"The Chloroform Question and the Report of the Second Hyderabad Commission","authors":"","doi":"10.1017/S1755145500148547","DOIUrl":"https://doi.org/10.1017/S1755145500148547","url":null,"abstract":"Very few cases of epithelioma of the thyroid gland have been put on record, the only ones with which I am familiar being cases of cylindrical epithelioma recorded by W. Mtiller, Liicke, Cornil, Kaufmann, and Wolfler, and of squamous-celled epithelioma by Forster, Eppinger, Liicke, Kaufmann, and Braun. In Eppinger and Braun's cases growths in the trachea existed. In this case no difficulty was met with in arriving at an early diagnosis, the only question being whether the tracheal tumour or the thyroid growth was the primary event. Tracheal growths coincident with thyroid malignant neoplasms are, however, very frequent, and there can be little doubt from the history of the case, and especially the early dysphagia, that the first deposit was in the thyroid gland, and that the tracheal neoplasm was secondary. With a growth in such an advanced condition as this was when the patient first came under observation, it is usual to get not only dysphagia and dyspnoea, but pressure upon the vessels and nerves of the neck, vocal cord paralyses, fixability of the tumour by adhesions in various directions, and adhesion of the skin to the tumour, so that it cannot be moved over it. The early sign of dysphagia, which is a most valuable one in the diagnosis of these tumours, was present from the first, and this may very probably have been due to some pressure upon the oesophagus by the portion of the right lobe, which afterwards broke down into an abscess, and this would account for the fact of no pressure upon the oesophagus being found post mortem. The fatal termination to the case was unfortunate. But though it was felt that something must be done for the relief of the patient, it was with the full knowledge that tracheotomy in such cases is not only a very difficult operation to perform, but rarely gives relief, and in point of fact appears to have frequently terminated the patient's existence. However, it was thought better to attempt it than to let the patient die of suffocation.","PeriodicalId":379510,"journal":{"name":"The Journal of Laryngology and Rhinology","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1890-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114256515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Breathing During Singing and Speaking 唱歌和说话时的呼吸

The Journal of Laryngology and Rhinology Pub Date : 1890-02-01 DOI: 10.1017/S1755145500148523

{"title":"Breathing During Singing and Speaking","authors":"","doi":"10.1017/S1755145500148523","DOIUrl":"https://doi.org/10.1017/S1755145500148523","url":null,"abstract":"LITTLE that is worth reading is to be found in text-books of physiology on the subject of the proper method of taking the breath during speaking and singing. The subject is either treated inadequately or incorrectly. For information we must turn to the works of the specialist, or to those to whom the training of the voice falls. Authorities are divided into two opposing bands, holding diametrically opposite views. These may, for our purposes, be designated the old and new schools. The old school as represented by the old Italian Masters, and the new by the Paris Conservatoire. To some it may be necessary to point out that in ordinary quiet respiration the posterior and lateral portions of the diaphragm descend, and the ribs ascend and expand. That in forcedi«spiration the diaphragm may be made to ascend or descend to its fullest extent. The difference of opinion between the old and new schools depends upon this forced ascent or descent of the diaphragm. Inspiration associated with ascent of the diaphragm is inspiration with hollow or unprotruded abdomen, and the method adopted and advocated by the old Italian Masters. Inspiration associated, on the contrary, by forced descent of the diaphragm is inspiration with protruded abdomen; the form advocated by more recent but, I venture to state, less enlightened observers. The crown of the diaphragm being foixed up to its fullest extent and there retained, the muscular portion is nearly vertical, and in this position acts as a powerful agent in elevating and expanding the lower ribs, and so increasing the area of the floor of the chest cavity. The result of a forced lowering of the crown of the diaphragm is a nearly horizontal position of the muscular portion, with a further effect of, on contraction, a","PeriodicalId":379510,"journal":{"name":"The Journal of Laryngology and Rhinology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1890-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115917487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Association Meetings 协会会议

The Journal of Laryngology and Rhinology Pub Date : 1890-02-01 DOI: 10.1017/S1755145500149589

John N. Mackenzie

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JLO volume 4 issue 2 Cover and Front matter JLO第4卷第2期封面和正面事项

The Journal of Laryngology and Rhinology Pub Date : 1890-02-01 DOI: 10.1017/S175514550014850X

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Thyroid, Neck, &c. 甲状腺、颈部等。

The Journal of Laryngology and Rhinology Pub Date : 1890-01-01 DOI: 10.1017/s1755145500148481

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A Case of Acute Hæmorrhagic Glossitis 急性h æ出血性舌炎1例

The Journal of Laryngology and Rhinology Pub Date : 1890-01-01 DOI: 10.1017/S1755145500148432

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Condition of the Air-Passages in West Indian Leprosy 西印度麻风病的空气通道状况

The Journal of Laryngology and Rhinology Pub Date : 1890-01-01 DOI: 10.1017/S1755145500148444

{"title":"Condition of the Air-Passages in West Indian Leprosy","authors":"","doi":"10.1017/S1755145500148444","DOIUrl":"https://doi.org/10.1017/S1755145500148444","url":null,"abstract":"itself, appearing, according to anatomical relations, on the upper and under surface of that organ and in the floor of the mouth. That it was not a case of simple haemorrhage of the tongue is proved : I. Because the lesion had an inflammatory character being accompanied by general symptoms such as fever, general malaise, albuminuria, which symptoms generally accompany simple acute glossitis. 2. Because both sides of the tongue, though differently, were impaired by the disease. 3. Because tumefaction was equally developed in places where blood appeared or not, proving that the swelling was not caused by blood alone. 4. Because there was no spot, which by greater swelling or accumulation of blood, could be considered as the source of the bleeding. 5. Because no traumatic lesion could be detected. 6. Because there was no external bleeding, which would have been sure to appear had the swelling been caused by haemorrhage alone, as the bleeding would then have been considerable (the source of the slight quantity of blood found in the saliva has been mentioned). As far as the etiology of this case is concerned nothing much can be said, as in most cases of acute glossitis. Nothing was found in the anamnesis on examination of the patient pointing to infection, bite by insects, caustic irritation, etc. That the inflammation took a haemorrhagic character can easily be explained by the fact, that the patient suffered from chronic alcoholism, a disease which disposes to fragility of the blood vessels. That the patient had previously had haemorrhage, and that bleeding from the nose appeared simultaneously with the tongue trouble, makes the haemorrhagic character of the inflammation less strange. As far as the treatment is concerned, it will be observed that the usual treatment for acute glossitis, viz., deep incisions, was not made use of; Firstly, because there was no danger of incarceration of the tongue ; Secondly, because such treatment might have aggravated the existing bleeding ; and Thirdly, because the case was so recent that internal treatment might well be tried first. The course of the case proved that incision would have been superfluous. Whether the favourable course was caused or aided by the treatment can hardly be decided.","PeriodicalId":379510,"journal":{"name":"The Journal of Laryngology and Rhinology","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1890-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122835699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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On Aprosexia

The Journal of Laryngology and Rhinology Pub Date : 1889-12-01 DOI: 10.1017/S1755145500152388

John, Macintyre

引用次数: 1

JLO volume 3 issue 12 Cover and Front matter JLO第3卷第12期封面和正面问题

The Journal of Laryngology and Rhinology Pub Date : 1889-12-01 DOI: 10.1017/S1755145500152340

Laryngo Logy

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