For an ordinary convulsive attack in the case of a child, hold...
Potatoes boiled and beaten up with buttermilk, spread out in t...
Muscular Action Weak
The heart is the most important of all muscles. Sometimes the ...
The Dissection Of Femoral Hernia And The Seat Of Stricture
Whilst all forms of inguinal herniae escape from the abdomen ...
The Expletive Method Blood-letting
has been advocated by some of the best authorities, and there...
Difficulties In The Introduction Of The Bronchoscope
The beginner may enter the esophagus instead of the trachea:...
The Distinctive Diagnosis Between External And Internal Inguinal Herniae The Taxis The Seat Of Stricture And The Operation
A comparison of the relative position of these two varieties ...
Constipation Of Bowels
This disease may proceed from either a negative condition--a ...
Racks From Lifting
See Muscular Pains; Sprains. ...
Esophagoscopy is demanded in every case in which a foreign b...
The Surgical Dissection Of The Subclavian And Carotid Regions The Relative Anatomy Of Their Contents
A perfect knowledge of the relative anatomy of any of the s...
Resume Of Tracheotomy
Instruments. Headlight Sandbag Scalpel Hemostats ...
The Care Of An Invalid
TO take really good care of one who is ill requires n...
Direct Laryngoscopy Adult Patient
Before starting, every detail in regard to instrumental equi...
Acute esophagitis calls for rest in bed, sterile liquid food...
A Rampaging Infection
At the age of 40, John, an old bohemian client of mine, came ...
This disease consists in a looseness of the bowels, generally...
Bile On The Stomach
Take half a teacupful of hot water every ten minutes for ten h...
Some peoples' lives don't run smoothly. Jeanne's certainly di...
See Baths for Head. ...
Endoscopy In Malignant Disease Of The Larynx
Category: ENDOSCOPY IN MALIGNANT DISEASE OF THE LARYNX
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The general surgical rule applying to individuals past middle life,
that benign growths exposed to irritation should be removed, probably
applies to the larynx as well as to any other epithelialized
structure. The facility, accuracy and thoroughness afforded by
skilled, direct, laryngeal operation offers a means of lessening the
incidence of cancer. To a much greater extent the facility, accuracy,
and thoroughness contribute to the cure of cancer by establishing the
necessary early diagnosis. Well-planned, careful, external operation
(laryngofissure) followed by painstaking after-care is the only
absolute cure so far known for malignant neoplasms of the larynx; and
it is a cure only in those intrinsic cases in which the growth is
small, and is located in the anterior two-thirds of the intrinsic
area. By limiting operations strictly to this class of case,
eighty-five per cent of cures may be obtained.* In determining the
nature of the growth and its operability the limits of the usefulness
of direct endoscopy are reached. It is very unwise to attempt the
extirpation of intrinsic laryngeal malignancy by the endoscopic
method, for the reason that the full extent of the growth cannot be
appreciated when viewed only from above, and the necessary radical
removal cannot be accurately or completely accomplished.
* The author's results in laryngofissure have recently fallen to 79
per cent of relative cures by thyrochondrotomy.
Malignant disease of the epiglottis, in those rare cases where the
lesion is strictly limited to the tip is, however, an exception. If
amputation of the epiglottis will give a sufficiently wide removal,
this may be done en masse with a heavy snare, and has resulted in
complete cure. Very small growths may be removed sufficiently widely
with the punch forceps (Fig. 33); but piece meal removal of malignancy
is to be avoided.
Next: Differential Diagnosis Of Laryngeal Growths In The Larynx Of Adults
Previous: Benign Neoplasms Of The Esophagus