A CASE OF "FIBROMA MOLLUSCUM MULTIPLEX." BY C. S. HAMILTON, M. D., Lecturer on Pathology, Columbus Medical College. This case is reported chiefly because of its pathological interest. Wm. Burg, farmer, age fifty-one, was admitted to Hawkes' Hospital in January, 1890. He gave the following history: At the time of his birth, a small tumor was observed in the left scapular region. During childhood many others appeared in various parts of the body-all, however, being in the subcutaneous tissue. E.A formed tracheotomy and removed the tube. Upon my return I found him wearing the tracheotomy tube, and the larynx entirely closed by adhesions. Laryngotomy was performed, the adhesions broken up, and the remnants of the growth removed, and an intubation-tube introduced. He has now been wearing the tube over a year, and is still unable to breathe without it. The difficulty has been from the adhesions rather than from the growth." It seems a pity, since the wearing of the tube for a week gave relief for "several weeks," that the effect of persistent use of the tube was not tried before resorting to the caustic. Tubercular Laryngitis; Intubation; Relief of Dyspnea. Case 41.-August 28th, 1889, Anna McN,of Lafayette, Ohio, aged nine years, was brought to my office, suffering from extreme dyspnea, due to tuberculous growths in the larynx, involving both cords, though mainly the left. Both lungs were also involved, and it was evident that she could live but a short time. Intubation relieved the dyspnea at once. She coughed the tube out in four or five days, but her breathing remained easy, and, on inspection, the growths were found much reduced in size. She died in about six weeks, but the laryngeal obstruction did not return. I wish to place these two cases on record, hoping that they may serve to broaden the field for intubation. 、 NOTE. As ordinarily made, the shank of the obturator is stiff, with a single joint. While the expert intubationist finds no difficulty in withdrawing this obturator, the tyro will not infrequently find it to catch and cause delay. To obviate this difficulty I, some time ago, had Shepard & Dudley make me a set of obturators in which the stiff shanks were replaced by braided silver wire. I have found them a decided improvement. (See fig. 2). A CASE OF "FIBROMA MOLLUSCUM MULTIPLEX." BY C. S. HAMILTON, M. D., Lecturer on Pathology, Columbus Medical College. This case is reported chiefly because of its pathological interest. Wm. Burg, farmer, age fifty-one, was admitted to Hawkes' Hospital in January, 1890. He gave the following history: At the time of his birth, a small tumor was observed in the left scapular region. During childhood many others appeared in various parts of the body-all, however, being in the subcutaneous tissue. E.A formed tracheotomy and removed the tube. Upon my return I found him wearing the tracheotomy tube, and the larynx entirely closed by adhesions. Laryngotomy was performed, the adhesions broken up, and the remnants of the growth removed, and an intubation-tube introduced. He has now been wearing the tube over a year, and is still unable to breathe without it. The difficulty has been from the adhesions rather than from the growth." It seems a pity, since the wearing of the tube for a week gave relief for "several weeks," that the effect of persistent use of the tube was not tried before resorting to the caustic. Tubercular Laryngitis; Intubation; Relief of Dyspnea. Case 41.-August 28th, 1889, Anna McN―,of Lafayette, Ohio, aged nine years, was brought to my office, suffering from extreme dyspnea, due to tuberculous growths in the larynx, involving both cords, though mainly the left. Both lungs were also involved, and it was evident that she could live but a short time. Intubation relieved the dyspnea at once. She coughed the tube out in four or five days, but her breathing remained easy, and, on inspection, the growths were found much reduced in size. She died in about six weeks, but the laryngeal obstruction did not return. I wish to place these two cases on record, hoping that they may serve to broaden the field for intubation.. NOTE. As ordinarily made, the shank of the obturator is stiff, with a single joint. While the expert intubationist finds no difficulty in withdrawing this obturator, the tyro will not infrequently find it to catch and cause delay. To obviate this difficulty I, some time ago, had Shepard & Dudley make me a set of obturators in which the stiff shanks were replaced by braided silver wire. I have found them a decided improvement. (See fig. 2). A CASE OF "FIBROMA MOLLUSCUM MULTIPLEX." BY C. S. HAMILTON, M. D., Lecturer on Pathology, Columbus Medical College. This case is reported chiefly because of its pathological interest. Wm. Burg, farmer, age fifty-one, was admitted to Hawkes' Hospital in January, 1890. He gave the following history: At the time of his birth, a small tumor was observed in the left scapular region. During childhood many others appeared in various parts of the body-all, however, being in the subcutaneous tissue. E.A |