|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesThe Plumbing And Sewering Of The Body
The Wastes of the Body. Almost everything that the body does ...
Remedy Finding A
It will sometimes occur, in the case of those endeavouring to ...
Normal Blood Pressure For Adults
Woley [Footnote: Woley, II. P.: The Normal Variation of the S...
Care Of Instruments
The endoscopist must either personally care for his instrume...
This serious trouble in slighter forms affects one side of the...
Some years back my 70 years old mother came from the family ...
Amenorrhea Suppressed Menstruation
Treat as for chlorosis. But if the case be recent--the effect...
Burns Case Xxxiv
Mr. C. aged 51, scalded his leg ten days ago on the instep. H...
The disease known by this name in Canada breaks out in the han...
Vitamins For An Older Healthy Person
Someone who is beyond 35 to 40 years of age should still feel...
The esophagoscope, like the bronchoscope, is a hollow brass ...
Mild Reaction Erethic
If the poison is not virulent, and the body of the patient in...
In most cases of bronchiectasis there are strong indications...
Recent Wounds Contusions And Burns
Use the B D current, strong force as can be borne. Bring the ...
Foreign Bodies In The Insane
Foreign bodies may be introduced voluntarily and in great nu...
Clothes should be Loose and Comfortable. Man is the only anim...
Simple remedies such as we advocate are found of immense servi...
The Cause Of Disease
Ever since natural medicine arose in opposition to the violen...
Small Pox - Variola
This disease begins with pain in the head and back, chilly se...
Drugs In Hypertension
The drugs that are mostly used to lower blood pressure are ni...
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:
Previous: Notes On Nursing Tracheotomized Patients