Licensed books on medicine
<< Previous || Next >> |
Syphilis of the larynx
Laryngeal syphilis is observed as a manifestation of a general disease of the body. It can occur at any stage of the general process and at any age. Hard chancre in the larynx is extremely rare. Infection directly with the larynx can occur as a result of an injury by food or any object.
The secondary stage manifests itself in the form of erythema, stimulating catarrhal laryngitis, when the mucous membrane of the vocal folds, arytenoid cartilage and epiglottis are involved in the process, as well as in the form of papules and wide warts. Papules are localized on the vocal, vestibular, scoop-palatine folds and epiglottis. Subjective symptom of secondary syphilis of the larynx is hoarseness. Diagnosis of secondary laryngeal syphilis is based on the results of laryngoscopy and the identification of the same process on the mucous membrane of the oropharynx and other organs. In addition, the effectiveness of the specific treatment of laryngitis is of some importance.
The tertiary stage of syphilis of the larynx is diagnosed mainly in men aged 30-50 years. Gumma is localized mainly on the epiglottis, less often in the intercarpal space and on the vestibular folds. Located in the sub-vocal region, gum takes the form of a symmetrical infiltrate. With the decay and penetration of a secondary infection, a characteristic gum ulcer is formed, complicated by edema, phlegmon, arthritis, chondroperichondritis. Specific inflammation of the cartilage leads to the formation of endolaryngeal fistula.
In the absence of complications, whitish-yellow star-shaped scars and cicatricial diaphragms are formed at the site of the gum. As a consequence of the cicatricial process, laryngeal deformity occurs, leading to stenosis, which can only be eliminated surgically (in the acute process, tracheostomy, in others - laryngostomy). Complaints of a patient with syphilis at the stage of gumma formation depend on its size, localization and secondary reactive processes. Hoarseness or aphonia is relatively common. With the development of cicatricial stenosis, difficulty breathing occurs. In addition, there is a symptomatology characteristic of complications developing in this period.
D and a g n about with t and to and. Recognition of tertiary syphilis of the larynx is not difficult, since syphilitic gum has a characteristic appearance. In terms of differential diagnosis, tuberculosis and a malignant tumor should be borne in mind. In this case, the patient’s examination for tuberculosis, Wassermann’s reaction, histological examination of a piece of tissue taken during a biopsy of the affected area provide some help.
Treatment With laryngeal syphilis, specific treatment: in addition to the above antibiotics, novarsenol, osarsol, mercury, iodine preparations are used. Treatment is carried out in venereological institutions. When stenosis of the larynx occurs, surgery is performed on the trachea or larynx in order to restore breathing.
| << Previous || Next >> |
| = Skip to textbook content = |
Syphilis of the larynx
- CONGENITAL SYPHILIS. TREATMENT AND PREVENTION OF SYPHILIS
The fact of transmission of syphilis to offspring was established in the late 15th - early 16th centuries. For several centuries, the question of the mechanism of transmission of syphilitic infection remained unclear. For centuries, the germinative hypothesis was dominant, according to which syphilis is transmitted to the fetus only by the father through a sperm that directly infects the egg cell. According to this view, a child with syphilis
- Congenital syphilis. Fetal syphilis
Under the influence of treponem, changes that occur in the placenta make it functionally inferior, as a result of which its intrauterine death occurs at the 6-7th month of pregnancy. The dead fruit is pushed out on the 3-4th day, usually in a macerated state. The macerated fruit, compared with a normally developing fruit of the same age, has significantly smaller sizes and weights. Leather
- SYPHILIS. PRIMARY PERIOD OF SYPHILIS
Currently, there is a large group of sexually transmitted infections (STIs). Classification of STIs (WHO, 1982) Bacterial nature 1. Syphilis and other treponematoses (pint, frambesia, bezhel) 2. Gonorrhea 3. Chancroid 4. Venereal lymphogranulomatosis 5. Donovanosis 6. Urogenital chlamydia and Reiter’s disease 7. Urogenital mycoplasmosis (in t .h.
- The course of the secondary and tertiary periods of syphilis. Malignant course of syphilis
Secondary period. This period begins with the onset of the first generalized rashes (on average 2.5 months after infection) and lasts in most cases for 2–4 years. The duration of the secondary period is individual and is determined by the characteristics of the patient's immune system. In the secondary period, the most pronounced wave-like course of syphilis, i.e., alternation
- Tertiary syphilis. Congenital syphilis.
Tertiary syphilis. Congenital
- Treatment of patients with syphilis. Cure criterion. Clinical examination of patients with syphilis
- Larynx Infectious Granulomas
Tuberculosis of the larynx occurs as a complication of the pulmonary process, infection occurs spontaneously, through sputum when the patient coughs. The larynx is affected in 8-30% of patients with pulmonary tuberculosis at a flowering age (20-40 years), more often in men. Pathomorphological forms: infiltrate, ulcer, perichondritis, essentially the stage of the disease. The posterior sections of the larynx are usually affected: the intercarpal space,
- Laryngeal stenosis
DIAGNOSTICS Stenoses of the larynx differ in the rate of development and degree of compensation. According to the rate of development of laryngeal stenosis, they are divided into: - fulminant (obstruction by a large foreign body, laryngospasm), developing within a few minutes; - acute, developing within a few hours (days); -chronic. The main causes of stenosis of the larynx: -inflammatory processes in the larynx
- Laryngeal edema
Laryngeal edema (oedena laryngis) is essentially a symptom of certain diseases; it can be inflammatory and non-inflammatory (see Fig. 8.2). Inflammatory edema more often occurs as a manifestation of various diseases of the pharynx, larynx and other organs, and can occur in some acute and chronic infectious diseases, for example, with measles, scarlet fever, flu, tuberculosis,
The larynx is a wide, short tube made up of cartilage and soft tissue. It is located in the front of the neck and can be felt from the front and sides through the skin, especially in thin people. From above, the larynx passes into the laryngeal part of the pharynx. From below, it passes into the respiratory throat (trachea). Large cervical vessels and nerves are adjacent to the larynx from the sides, the lower part of the pharynx is behind,
The larynx (larynx) performs the functions of breathing, sound formation and protecting the lower respiratory tract from the ingress of foreign particles. It is located in the front of the neck, at the level of IV-VII cervical vertebrae; on the surface of the neck forms a small (in women) and strongly projecting forward (in men) elevation - the protrusion of the larynx. From above, the larynx is suspended from the hyoid bone; below, it connects to the trachea.
- Chronic stenosis of the larynx: causes, therapeutic tactics
Chronic stenosis occurs as a result of persistent morphological changes in the larynx or neighboring areas. Causes of chronic stenosis: • Chondroperichondritis is traumatic, infectious, radiation; • Impaired mobility of the cricoid joints: • Dysfunction of the lower throat nerves as a result of toxic neuritis, after a stumectomy, with pressure
- Laryngeal injury
Clinical picture Damage to the larynx is divided into open (cut, stab, gunshot wounds) and closed, among which external and internal are distinguished. The latter are usually caused by a foreign body entering the larynx. By the nature of the damaging factor, mechanical, thermal and chemical injuries are distinguished. Injuries to the larynx are always accompanied by a violation of the general condition. May develop
- Chronic laryngeal stenosis
The disease occurs as a result of persistent morphological changes in the larynx or adjacent areas, leading to its narrowing. It usually develops slowly and gradually. Et and about l about d and I. The causes of chronic stenosis are diverse. The most common are: 1) chondroperichondritis traumatic, infectious, radiation; 2) cicatricial membranes of the larynx; 3) dysfunction of the lower larynx
- Larynx HORSE
The larynx is a short tubular valve consisting of cartilage and muscles and lined from the inside of the mucous membrane. In the head, it is located ventrally between the segmental planes drawn through the body of the sphenoid bone and the atlas. When the head is in the “normal” position, the rostral half of the larynx lies between the branches of the lower jaw. Strictly speaking, the larynx is the beginning of the larynx,
- Larynx stenoses
Stenosis of the larynx and trachea lead to severe respiratory distress until death from asphyxiation. Laryngology studies only stenosis of the larynx and upper (cervical) section of the trachea, while thoracic surgeons are involved in stenosis of the thoracic section. Of course, there are differences in both the pathogenesis and clinic of acute and chronic laryngeal stenosis. Acute stenosis occurs most often as a result of fiber swelling in the area
- Larynx Injury
In peacetime, laryngeal injuries are relatively rare. There are closed and open injuries, while closed are divided into internal and external. Internal injuries result from foreign bodies, medical manipulations, for example, tracheal intubation. Such injuries are not particularly dangerous except for the possibility of the development of chondroperichondritis of the cartilage of the larynx, when
- Laryngeal palsy
Deborah R. Van Pelt, DVM, MS 1. What conditions lead to the development of laryngeal paralysis? Congenital laryngeal paralysis is described in Siberian huskies, Flanders and English Bulldogs and Bull Terriers. Other conditions include systemic neuromuscular or metabolic diseases (such as myasthenia gravis and hypothyroidism), injuries (bite wounds or a blunt neck injury) and, less commonly, inflammation or
- Features of the larynx
Larynx in children - funnel-shaped, is a continuation of the pharynx. In children, it is located higher than in adults, has a narrowing in the cricoid cartilage, where the ligamentous space is located. The glottis is formed by the vocal cords. They are short and thin, this is due to the high sonorous voice of the child. The diameter of the larynx in a newborn in the region of the subglottic space
- Laryngeal diseases
Anomalies of development. Most often, deviations in the structure of the epiglottis are noted. It may be underdeveloped or even completely absent. Sometimes the epiglottis is sharply deformed: split into several lobes, rolled into a tube. Defects of the epiglottis usually do not significantly affect the function of voice formation. In some cases, a congenital diaphragm is observed.