One thing that has always bugged me, and I'm sure it does most of you, is to sit down at the dinner table only to be interrupted by a phone call from a telemarketer. I decided, on one such occasion, to try to be as irritating as they were to me. ... Read more of Telesales at Free Jokes.caInformational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

The Unrelenting Boredom Of Fasting

Then there's the unrelenting boredom of fasting. Most people ...

Treatment Of The Violent Or Sthenic Form Of Scarlatina Anginosa

The _violent_, or _sthenic form_ of scarlatina anginosa becom...

The Surgical Form Of The Superficial Cervical And Facial Regions And The Relative Position Of The Principal Blood-vessels And Nerves

When the neck is extended in surgical position, as seen in Pl...

Clothing

Clothes should be Loose and Comfortable. Man is the only anim...

Bruises Case Xiv

The first case of bruise which I shall detail was not severe,...

Tetanus

This is substantially the same thing as trismus, except that ...

Care Of Instruments

The endoscopist must either personally care for his instrume...

Fomentation

Some general remarks on this important treatment we give here....

Blood Pressure

The study of the blood pressure has become a subject of gre...

Children In Fever

Fevered children, whether in any actual fever, as scarlet, typ...

Diagnosis Of Foreign Body In The Air Or Food Passages

The questions arising are: I. Is a foreign body present? ...

Diagnosis

It has been estimated that 70 per cent of stenoses of the es...

Alcohol

Enough has already been said of the value and limitations of ...

Actinomycosis Of The Esophagus

Esophageal actinomycosis has been autoptically discovered. It...

Sciatica

This is neuralgia in an ischiatic nerve, commonly the great i...

Torpid Liver

Take A D or B D current, full medium force. Treat with N. P. ...

Cardiac Drugs

Whether any drug should be used which acts directly on the he...

Pleurisy

This is inflammation of the Pleura of one or both lungs, gene...

Cholera Malignant

As in cholera morbus, keep the patient on his back, still as ...

The Real Truth About Salt And Sugar

First, let me remind certain food religionists: salt is salt ...



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 Informational Site Network
Report
Privacy
ADD TO EBOOK


Viewed 1889