Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
investing elastic tissue which enables the pieces to move on each other
as by a hinge, and being approximated by the contraction of the
trachealis muscle above, the ring is flattened from side to side and the
channel for the passage of air correspondingly decreased. This
flattening can be easily felt by the hand in the living horse. 14th, A
peculiar congenital distortion of the trachea caused by the curling in
of one end of each cartilage of the windpipe and the straightening out
of the other. This occasionally proceeds so far that the gullet is
lodged in the interspace overlapped and hidden by the free ends of the
cartilages, the diameter of the windpipe being proportionately
diminished. Distortions and fractures are usually overlooked by
veterinarians but from the frequency with which the author has met with
them in his dissection he is convinced that they deserve greater
attention than has been awarded them. 15th, Percivall records a case of
inveterate _roaring_ in which, even tracheotomy having failed to cure,
the patient was destroyed and the lungs found to be extensively
consolidated, many of the air tubes having been so compressed as to be
almost impervious. I have known a case of roaring from the presence of a
pedunculated tumor in the lower end of the windpipe where it divides to
enter the lungs, and the same result may ensue from the partial
obstruction of the bronchial tubes by masses of tenacious mucus in
chronic bronchitis.
16th. The immediate cause of _roaring_ in the immense majority of cases
is the =paralysis and fatty degeneration of certain muscles on the left
side of the larynx=. The muscles supplied with motive power by the =left
recurrent laryngeal nerve= (Crico-arytenoideus posticus,
Crico-arytenoideus lateralis, thyro-arytenoideus, and the left half of
the arytenoideus) are those constantly and exclusively affected, while
those supplied by the _superior laryngeal nerve_ (Crico-thyroideus,
hyo-thyroideus and hyo-epiglottideus) remain unchanged. The left
recurrent nerve is also wasted and considerably attenuated as compared
with that on the opposite side. The _modus operandi_ of this paralysis
and wasting in the production of _roaring_ is beautifully seen when the
upper part of the windpipe is laid open so as to expose the interior of
the larynx in laryngectomy. The triangular opening of the glottis is
seen fairly dilated while the muscles are relaxed in the act of
expiration. As soon, however, as inspiration commences the left
arytenoid cartilage slides completely into the passage, its lower border
projecting so much to the right that it forms a prominent crest
extending beyond the median line and in some cases closely approaching
the right wall of the larynx, the superior elastic and free border of
the same cartilage meanwhile gets drawn inward by the suction power of
the air so as to block up the passage still more. The closure of the
glottis being thus seen to be largely controlled by the current of
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