THE DIAGNOSIS OF LARYNGEAL DISEASE

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Abstract
Hoarseness, the most common symptom of laryngeal disease, always calls for careful diagnostic study. Too often patients with this complaint are sent away with a casual diagnosis of "laryngitis." As a result, the patient with early and easily operable cancer, or incipient tuberculosis, is allowed to go on for months without an accurate diagnosis and appropriate treatment. The complaint of hoarseness calls for the following diagnostic studies: A complete history. Mirror laryngoscopy. Roentgenographic study of the neck and chest, and in most cases also of the sinuses. Complete general physical examination with particular attention to the chest. Blood Wassermann test. Sputum analysis. Direct laryngoscopy (if indicated). Biopsy (if indicated). After the taking of the history, the first step in the diagnosis of laryngeal disease is to look at the larynx. This can be accomplished by the indirect method in almost all adults and older children. If the mirror view is

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