Proceedings of the Royal Society of Medicine—Laryngological Section

Dundas Grant
1910 The Journal of Laryngology Rhinology and Otology  
The patient, a woman, aged twenty-seven, complained < > f " hoarseness," and was under sanatorium treatment for pulmonn IT tuberculosis. The left ventricular band was swollen, so that the corresponding vocal cord was invisible. Four deep punctures with the galvano-cautery brought about the present satisfactory condition. Dr. JOBSON HOKNE feared that a certain tendency had recently become evident to exaggerate the benefits of the galvano-cautery treatment of laryngeal tuberculosis. As a fact the
more » ... treatment resembled the submucous resection of the nasal septum; those cases yielded the best results which least required operation. There was one factor in the history of a case such as this which laryngologists were apt to forget, and that was Providence. These cases would get well without any aid from the laryngologist. He did not wish to doubt Mr. Tilley's observations, but he wished to take exception to the words he had used that the galvano-cautery had " brought about " the present condition. Dr. DAN MCKENZIE showed some cautery points he had devised to facilitate galvano-cautery puncture of the larynx. Mr. SCANES SPICEE said that the results in this case had been very satisfactory. He supposed, in answer to some of Dr. Home's remarks, that tuberculosis of the larynx should receive local treatment when it produced symptoms. The larynx in this case still showed some redness about the right cord, and the voice was still husky, but there was no longer any sign of tuberculous infiltration. Dr. DONELAN also congratulated Mr. Tilley upon the good results he had obtained. He had had several advanced cases under his care recently, and some he had cauterised as often as fifty or sixty times without, however, curing them. Perhaps he had not been bold enough in his applications because he had been afraid of the reaction that might ensue. But it really seemed as if the reaction that followed cauterising fit. May. i9io.] Rhinology, and Otology. 249
doi:10.1017/s1755146300184781 fatcat:xyhy5i4c7rdfthz3erllyidwja