Identifier: manualofdiseases00mack (find matches)
Title: A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx
Year: 1880 (1880s)
Authors: Mackenzie, Morell, Sir, 1837-1892
Subjects: Otolaryngology Nose Pharynx
Publisher: New York : W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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ised cicatricial band just below the cricoid cartilage. It was nearly halfan inch in width, and ran round the tube for three-fourths of its circum-ference, reducing the canal to the size of a No. 3 oesophageal bougie (oldEnglish scale). In my second case (Fig. 14) slightly raised transverse 1 Lancet, 1877, vol. ii., p. 9. 2 Nouv. Diet, de Med. Paris, 1877, t. xxiv., pp. 403, 404. 3 Clinical Surgery, Syd. Soc. Transl. London, 1881, p. 128. 4 It was formerly believed that congenital syphilis of the larynx was extremelyrare, but the recent researches of Dr. John Mackenzie, of Baltimore (Amer. Journ.Med. Sci., October, 1880), have proved tins condition to be of more frequent occur-rence than was previously supposed, and if the gullet could be thoroughly examinedduring life in patients Buffering from congenital syphilis, this canal also would prob-ably be found to be afected much more often than is generally suspected. 5 Berkeley Hill: Syphilis and Local Contagious Disorders. 1808, p. 127.
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Fig. 14.—Syphilitic Cicatrices inthe (Esophagus. (Seen from behind.)a and a\ anterior wall of the gullet;6, sides of the gullet thrown outward ;e, situation of transverse ridges of ci-catricial tissue (above and below themvertical ridges are seen); d, posteriorsurface of cricoid cartilage (between</ and a a portion of the posterior wallof the trachea is visible); e. left, and/, right bronchus ; g, edge of trachea. 76 DISEASES OF THE THROAT AND NOSE. ridges occupied the anterior wall of the gullet one inch and a half belowthe cricoid cartilage, the upper and lower bands giving off short verticalspurs. There was very little thickening of the walls of the gullet exceptimmediately beneath the cicatricial bands. In one of Wests cases theoesophagus was constricted four inches below its upper orifice for abouttwo inches and a half, and the narrowed portion, owing to thickening ofthe mucous membrane, and fibrous deposits in the form of bands andridges, presented very much the appearance

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