PATHOLOGY AND MORBID ANATOMY.—It is always associated with cutaneous lepra, and usually with lepra of the nasal passages and the pharynx. According to Schroetter's observations, laryngeal lepra occurs as small connective-tissue nodules on the epiglottis or in the interior of the larynx, or as uniform thickenings, general or circumscribed. These may lead to stricture. Extensive ulceration may ensue.
SYMPTOMS.—Dysphonia, aphonia, dyspnoea, cough, and local anæsthesia are the main symptoms. Pain is infrequent.
DIAGNOSIS.—This depends upon the external manifestations of lepra and the laryngoscopic detection of the characteristic thickenings and nodulations.
PROGNOSIS.—This is unfavorable.
TREATMENT.—This must be conducted on general principles. Elsberg commended iodoform topically and gurgun oil internally.
DISEASES OF THE TRACHEA.
BY LOUIS ELSBERG, A.M., M.D.