|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesDiagnosis Of Foreign Body In The Air Or Food Passages
The questions arising are: I. Is a foreign body present? ...
Treatment Of The Mild Or Erethic Form Of Scarlatina Anginosa
The _mild_ or _erethic form_ of scarlatina anginosa requires ...
If a chronic endocarditis has followed an acute condition, so...
Burns Case Xxxvi
The last case I have to give is one of great interest, as it ...
Auricular Fibrillation Occurrence
This condition of auricular fibrillation occurs occasionally ...
We have had so much success in helping the deaf that we feel w...
Infections And How To Avoid Them
What Causes Disease. The commonest and most dangerous acciden...
The Development Of Allergies
There are three ways a body can become allergic. (1) It can h...
Some most distressing troubles come as the result of frights. ...
Knee Swelling Of Or Pain In
For ordinary slight injuries, complete rest, and rubbing with ...
Relaxed And Atrophied Conditions
I alluded, above, to a distinction between a relaxed and an ...
This plant is the Chama Cyparissos, or ground cypress. It is o...
Spasmodic Stenosis Of The Esophagus
Etiology - The functional activity of the esophagus is depend...
Acute Dilatation Of The Heart In Acute Disease
It has for a long time been recognized that in all acute prol...
SYMPATHY, in its best sense, is the ability to take another's...
Sudden attacks of this, though in a mild form, are very troubl...
This is best treated by a good large BRAN POULTICE (see) on th...
When a child is suffering after vaccination, we should have hi...
From The Hygienic Dictionary
Food.  Life is a tragedy of nutrition. In food lies 99.99...
These are of two kinds, the one purely imaginary, the other wh...
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