This is a disease of children. Comes on in consequence of a s...
Treatment Of Broken Compensation
The consideration of this subject will include the following ...
My Own 56 Day Long Fast
Fasters go through a lot of different emotional states, these...
Ulcers Case Xxiii
Mr. Marshall, aged 60, had a troublesome ulcer under the oute...
Pimples On The Face
See Face. ...
Baths And Bathing
Bathing as a Means of Cleanliness. It has been said that one ...
Ulcerative lesions in the larynx during typhoid fever are al...
The Surgical Dissection Of The First Second Third And Fourth Layers Of The Inguinal Region In Connexion With Those Of The Thigh
The common integument or first layer of the inguino-femoral r...
Where cold is easily "taken," it is the skin which is defectiv...
The Half-bath The Sitz- Or Hip-bath
Should the half-bath or shallow-bath (which are technical ter...
Sources of Starch. The starches are valuable and wholesome fo...
Quacks And Quackery
Quackery and the love of being quacked, are in human nat...
Dysmenorrhoea - Painful Menstruation
For this disorder, I know of no one remedy so valuable as the...
Some have a predisposition to this most painful disease, and r...
See Veins, Swollen, etc. ...
This is often a trivial matter, but sometimes it is a symptom ...
I was practicing in Cincinnati during the prevalence of Chole...
When a limb becomes swelled and white, pouring hot water very ...
The abdomen is formed of a series of rings containing the bowe...
Intermittent Fever Ague And Fever
Use the A D current. First, give general tonic treatment. (Se...
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
4. Ankylotic (arytenoid)
(a) Loss of cartilage
(b) Loss of muscular tissue
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
Next: Plate V Laryngeal And Tracheal Stenoses:
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