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From The Hygienic Dictionary

Cure. [1] There is no "cure" for disease; fasting is not a cur...

Clinical Interpretation Of Pulse Tracings

A moment may be spent on clinical interpretation of pulse tra...

Electrical Classification Of Diseases

There are two, and only two, primary classes of disease--thos...

Cures Losing Their Effect

After a fortnight's treatment often matters seem to come to a ...

Diet

As intimated in the preceding paragraph, the diet during end...

Less-rigorous-than-water Fasts

There are gradations of fasting measures ranging from rigorou...

Fever Intermitting

For this the treatment may be given as in gastric fever, and, ...

Wounds Syringing

Very great good can often be done by a little careful syringin...

Painful Menstruation

Elsie was twenty. She came to see me because I had helped Els...

Period Of Incubation Or Hatching

The time which passes between the reception of the contagious...

Soap M'clinton's

Those of our readers who have followed out in practice the sug...

Eyes Hazy Sight

Frequently, after inflammation, and even when that has ceased,...

Pulsus Alternans

By this term is meant that condition of pulse in which, thoug...

Running The Human Automobile

The Body-Automobile. If you were to start to-morrow morning...

Quacks And Quackery Continued

An English physician, who practised during the early part o...

Aortic Insufficiency Aortic Regurgitation

This lesion, though not so common as the mitral lesion, is of...

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As long as compensation is complete, there are no medication ...

Colic

The symptoms of this are cramping pains in the abdomen, witho...

Introduction Of The Esophagoscope

The esophagoscope is to be passed only with ocular guidance, ...

The Healing Crisis And Retracing

Certain unpleasant somatics that occur while fasting (or whil...



Benign Growths In The Larynx





Category: BENIGN GROWTHS IN THE LARYNX
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Benign growths in the larynx are easily and accurately removable by
direct laryngoscopy; but perhaps no method has been more often misused
and followed by most unfortunate results. It should always be
remembered that benign growths are benign, and that hence they do not
justify the radical work demanded in dealing with malignancy. The
larynx should be worked upon with the same delicacy and respect for
the normal tissues that are customary in dealing with the eye.

Granulomata in the larynx, while not true neoplasms, require
extirpation in some instances.

Vocal nodules, when other methods of cure such as vocal rest,
various vocal exercises, etcetera have failed may require surgical
excision. This may be done with the laryngeal tissue forceps or with
the author's vocal nodule forceps. Sessile vocal nodules may be cured
by touching them with a fine galvanocautery point, but all work on the
vocal cords must be done with extreme caution and nicety. It is
exceedingly easy to ruin a fine voice.

Fibromata, often of inflammatory genesis, are best removed with the
laryngeal grasping forceps, though the small laryngeal punch or tissue
forceps may be used. If very large, they may be amputated with the
snare, the base being treated with galvanocautery though this is
seldom advisable. Strong traction should be avoided as likely to do
irreparable injury to the laryngeal motility.

Cystomata may get well after simple excision or galvanopuncture of a
part of the wall of the sac, but complete extirpation of the sac is
often required for cure. The same is true of adenomata.

[202] Angiomata, if extensive and deeply seated, may require deep
excision, but usually cure results from superficial removal. Usually
no cauterization of the vessels at the base is necessary, either to
arrest hemorrhage or to lessen the tendency to recurrence. A diffuse
telangiectasis, should it require treatment, may be gently touched
with a needle-pointed galvanocaustic electrode at a number of
sittings. The galvanonocautery is a dangerous method to use in the
larynx. Radium offers the best results in this latter form of angioma,
applied either internally or to the neck.

Lymphoma, enchondroma and osteoma, if not too extensively involving
the laryngeal walls, may be excised with basket punch forceps, but
lymphoma is probably better treated by radium.* True myxomata and
lipomata are very rare. Amyloid tumors are occasionally met with,
and are very resistant to treatment. Aberrant thyroid tumors do not
require very radical excision of normal base, but should be removed as
completely as possible.

In a general way, it may be stated that with benign growths in the
larynx the best functional results are obtained by superficial rather
than radical, deep extirpation, remembering that it is easier to
remove tissue than to replace it, and that cicatrices impair or ruin
the voice and may cause stenosis.

* In a case reported by Delavan a complete cure with perfect
restoration of voice resulted from radium after I had failed to cure
by operative methods. (Proceedings American Laryngological
Association, 1921.)





Next: Papillomata Of The Larynx In Children

Previous: Pleuroscopy For Disease



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