The laryngeal disease of the German Emperor Friedrich III: treatment failure or fateful course

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Heinrich Rudert, Jochen A Werner

Abstract

Since the death of the Emperor Friedrich III in June 1888, there are still controversial discussions whether the Crown Prince could have been healed from his laryngeal cancer by a thyrotomy planned by his German physicians for May 21, 1887. In order to find an answer to this historical question, the Emperor's biographies, the literature on laryngology published in the late nineteenth and early twentieth century, German manuals on laryngology and ENT, the BMJ and Lancet were thoroughly studied where in particular not only Mackenzie but also Virchow had published several articles on the disease of Friedrich III. Prof. Gerhardt had decided not to perform biopsies of the tumor. Furthermore, he did not perform iodine potassium treatment ex juvantibus as it was common practice at that time in order to confirm the diagnosis of carcinoma by excluding syphilitic gumma. So Mackenzie was perfectly right when insisting on performing excisional biopsy before surgery. It is tragedy that Virchow by making the diagnosis of pachydermia laryngis provided the justification for canceling the surgical intervention that had already been decided. It was also mistake that Prof. Gerhardt did not accompany the Crown Prince during his stay in England in ...Continue Reading

References

Feb 1, 1986·The Laryngoscope·B Minnigerode
Nov 8, 1984·The New England Journal of Medicine·J I Lin
Jun 1, 1995·The Journal of Laryngology and Otology·R D Laurenson
May 3, 1873·British Medical Journal·M Mackenzie
Feb 18, 1888·British Medical Journal·M Mackenzie
Dec 31, 1892·British Medical Journal
Apr 16, 2011·Virchows Archiv : an International Journal of Pathology·Antonio CardesaGünter Klöppel
Apr 19, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Benedikt J FolzAlfio Ferlito

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