PERFORATION OF THE LARYNX FROM TUBERCULOUS LARYNGITIS: REVIEW OF THE LITERATURE AND REPORT OF A CASE
- 1 September 1930
- journal article
- review article
- Published by American Medical Association (AMA) in JAMA Otolaryngology–Head & Neck Surgery
- Vol. 12 (3) , 297-310
- https://doi.org/10.1001/archotol.1930.03570010343003
Abstract
It is generally accepted that laryngeal tuberculosis is almost always secondary to tuberculosis of the lungs. The high incidence of laryngeal tuberculosis as a complication of the disease in the lungs is also well recognized. Jackson and Coates1 summarized the reports of a number of observers, and they found that the larynx is involved in 12 per cent of the cases of early pulmonary tuberculosis and in 26 per cent of those in which the pulmonary disease is moderately advanced. In the terminal cases, they found that the instances of laryngeal tuberculosis reach 45 per cent or more. The blood stream, the lymphatic channels and direct implantation from sputum laden with tubercle bacilli are the routes of infection to be considered, and it is still uncertain which of these plays a major rôle, although it is probable that all three are important. The lesion is usually characterizedKeywords
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