See Breath, and the Heart. ...
Auricular Fibrillation Diagnosis
If the pulse is intermittent and there is apparently a heart ...
Sources of Starch. The starches are valuable and wholesome fo...
How the Nails are Made. Another trade, which our wonderful sk...
Angina Pectoris Symptoms
The pain of true angina pectoris generally starts in the regi...
has great power as a local remedy in _Erysipelas_, to be appl...
Croup More Serious Form
This is caused by an accumulation of material in the windpipe,...
A Rampaging Infection
At the age of 40, John, an old bohemian client of mine, came ...
On The Adherent Eschar
It appears scarcely necessary to describe the immediate and w...
Rubbing Sheet Substitute For The Half-bath
It cannot be difficult to procure a wash-tub. Should you be s...
Eruptive Cutaneous Diseases
Take A D current, pretty vigorous force in acute cases; mild ...
In the non-cicatricial forms, galvanocaustic puncture applie...
There are two more or less distinct stages of this serious tro...
Strabismus Discordance Of The Eyes
If neither of the rectus muscles have been cut and cicatrized...
Endoscopic Operations For Laryngeal Stenosis
Web formations may be excised with sliding punch forceps, or...
Exercise While Fasting
The issue of how much activity is called for on a fast is co...
If in the head, treat as prescribed for common colds in the h...
Breathing Correct Method Of
The capacity of an ordinary pair of lungs is about 250 cubic i...
(See Blood, Purifying; Sores). ...
Wounds Bleeding Of
After sending for a surgeon the first thing to be looked at in...
Benign Growths Primary In The Tracheobronchial Tree
Category: BENIGN NEOPLASMS OF THE ESOPHAGUS
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Extension of papillomata from the larynx into the cervical trachea,
especially about the tracheotomy wound, is of relatively common
occurrence. True primary growths of the tracheobronchial tree, though
not frequent, are by no means rare. These primary growths include
primary papillomata and fibromata as the most frequent, aberrant
thyroid, lipomata, adenomata, granulomata and amyloid tumors.
Chondromata and osteochondromata may be benign but are prone to
develop malignancy, and by sarcomatous or other changes, even
metaplasia. Edematous polypi and other more or less tumor-like
inflammatory sequelae are occasionally encountered.
Symptoms of Benign Tumors of the Tracheobronchial Tree.--Cough,
wheezing respiration, and dyspnea, varying in degree with the size of
the tumor, indicate obstruction of the airway. Associated with
defective aeration will be the signs of deficient drainage of
secretions. Roentgenray examination may show the shadow of
enchondromata or osteomata, and will also show variations in aeration
should the tumor be in a bronchus.
Bronchoscopic removal of benign growths is readily accomplished with
the endoscopic punch forceps shown in Figs. 28 and 33. Quick action
may be necessary should a large tumor producing great dyspnea be
encountered, for the dyspnea is apt to be increased by the congestion,
cough, and increased respiration and spasm incidental to the presence
of the bronchoscope in the trachea. General anesthesia, as in all
cases showing dyspnea, is contraindicated. The risks of hemorrhage
following removal are very slight, provided fungations on an
aneurismal erosion be not mistaken for a tumor.
Multiple papillomata when very numerous are best removed by the
author's coring method. This consists in the insertion of an
aspirating bronchoscope with the mechanical aspirator working at full
negative pressure. The papillomata are removed like coring an apple;
though the rounded edge of the bronchoscope does not even scratch the
tracheal mucosa. Many of the papillomata are taken off by the holes in
the bronchoscope. Aspiration of the detached papillomata into the
lungs is prevented by the corking of the tube-mouth with the mass of
papillomata held by the negative pressure at the canal inlet orifice.
Next: Benign Neoplasms Of The Esophagus
Previous: Methods Of Treatment