"He hath showed thee, O man, what is good; and what doth the Lord require of thee, but to do justly, and to love mercy, and to walk humbly with thy God." Micah 6:8. The life of Enoch is descriptive of the Christian's life, and it is said t... Read more of THE CHRISTIAN'S WALK A WALK WITH GOD. at Difficult.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Eyes Danger To Sight Of

Where inflammation has gone so far as to lead to suppuration, ...

Smallpox

If an epidemic prevails in the neighbourhood, or a case occurs...

Pneumonia

Take B D current, forceful as the patient can bear, and treat...

General Tonic Treatment

Take the B D current, (A D is very good), of fair medium stre...

Weakness

Often there follows, after the cure of an inflammatory disease...

Nature's Teaching

NATURE is not only our one guide in the matter of phy...

Cures As Self-applied

Often young people in lodgings are in difficulty for want of s...

The Roentgenographic Signs Of Expiratory-valve-like Bronchial Obstruction

The roentgenray signs in expiratory valve-like obstruction of...

In Excessive Heat And Continuous Delirium A Half-bath May Be Given

also, every time the packing sheet is changed. The rule is that...

Ulcers Case Xxii

J. Copeland, blacksmith, aged 38, came to me with many deep ...

Punctures Case Iii

A female servant punctured the end of the finger by a pin; th...

Iron

It is essential for the welfare of the patient, especially af...

Night Coughs

These frequently remain as the so-called dregs of some illness...

Exercise

Where this is advised medically, it is often taken in a manner...

Technic For General Anesthesia

For esophagoscopy and gastroscopy, if general anesthesia is ...

Necessity Of Ventilation Means Of Heating The Sick-room Relative Merits Of Open Fires Stoves And Furnaces

Next to its intrinsic value, our method gives the patient the...

Site Of Lodgment

The majority of foreign bodies in the air passages occur in ...

Chloride Of Lime

About the same opinion may be given on _Chloride of Lime_. As...

The Surgical Dissection Of The Principal Bloodvessels And Nerves Of The Iliac And Femoral Regions

Through the groin, as through the axilla, the principal blood...

Punctures Case Xi

Mrs. G. was bitten by a little dog on forefinger about a fort...



Chronic Stenosis Of The Larynx And Trachea





Category: CHRONIC STENOSIS OF THE LARYNX AND TRACHEA
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The various forms of laryngeal stenosis for which tracheotomy or
intubation has been performed, and the difficulties encountered in
restoring the natural breathing, may be classified into the following
types:
1. Panic
2. Spasmodic
3. Paralytic
4. Ankylotic (arytenoid)
5. Neoplastic
6. Hyperplastic
7. Cicatricial
(a) Loss of cartilage
(b) Loss of muscular tissue
(c) Fibrous

Panic.--Nothing so terrifies a child as severe dyspnea; and the
memory of previous struggles for air, together with the greater ease
of breathing through the tracheotomic cannula than through even a
normal larynx, incites in some cases so great a degree of fear that it
may properly be called panic, when attempts at decannulation are made.
Crying and possibly glottic spasm increase the difficulties.

Spasmodic stenosis may be associated with panic, or may be excited
by subglottic inflammation. Prolonged wearing of an intubation tube,
by disturbing the normal reciprocal equilibrium of the abductors and
adductors, is one of the chief causes. The treatment for spasmodic
stenosis and panic is similar. The use of a special intubation tube
having a long antero-posterior lumen and a narrow neck, which form
allows greater action of the musculature, has been successful in some
cases. Repeated removal and replacement of the intubation tube when
dyspnea requires it may prove sufficient in the milder cases. Very
rarely a tracheotomy may be required; if so, it should be done low.
The wearing of a tracheotomic cannula permits a restoration of the
muscle balance and a subsidence of the subglottic inflammation.
Corking the cannula with a slotted cork (Fig. 111) will now restore
laryngeal breathing, after which the tracheotomic cannula may be
removed.





Next: Plate V Laryngeal And Tracheal Stenoses:

Previous: Notes On Nursing Tracheotomized Patients



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 994