836 



PETEE BASSOE 



The epiglottis, aryepiglottic folds, ventricular bands and vocal cords were 

 proportionately enlarged. An appearance of asymmetry was given by the 

 deviation of the long axis of the glottis, which, instead of being sagittal, 

 was deviated to the left, posteriorly. The glottic chink was very narrow 

 and was insufficient for breathing. The left aryepiglottic fold was as much 







Fijr. 17. The Larynx in Acromegaly. (After Chevalier Jackson, J. Am. M. 

 Assn., 1918.) 



thickened as the right, but was not so long. The whole laryngeal image 

 was strongly suggestive of the facies and 'ginger-bread hands' of 

 acromegaly." The changes in the other cases were similar. Beck briefly 

 describes apparent redundancy of the laryngeal mucous membrane. 



The Circulatory System 



Hypertrophy of the heart is usually met with, and is combined with a 

 ircnoral visceral enlargement (splanchnomegaly). There is also a general 

 dilatation of the blood vessels with sclerotic changes, and further causes 

 for vascular thickening and cardiac hypertrophy arc found in the fre- 





