VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

The Curative Influence Of The Imagination

At the present day the remarkable benefit which often resul...

Punctures Case Viii

This case illustrates the mode of treatment by the lunar caus...

Dimensions Of The Trachea And Bronchi

It will be noted that the bronchi divide monopodially, not d...

Varix And Angioma Of The Esophagus

These lesions are sometimes the cause of esophageal hemorrhag...

Onion Cases

All too many of my cases are what I privately refer to as oni...

Period Of Desquamation Or Peeling-off

About the sixth or seventh day, the epidermis, or cuticle of ...

Endogastric Version

A very useful and comparatively safe method is illustrated i...

The Surgical Dissection Of The Superficial Bloodvessels Etc Of The Inguino-femoral Region

Hernial protrusions are very liable to occur at the inguino-f...

Operating Room

All endoscopic procedures should be performed in a somewhat ...

Eyes Paralysis Of

The partial paralysis of the muscles of one eye produces doubl...

Nephritis Inflammation Of Kidneys

1. Acute. If the urinary secretion be reddish and scant, with...

The Ear

Structure of the Ear. Next after sight, hearing is our most i...

Scarlatina Miliaris

Sometimes the red patches of the rash are covered with small ...

Lumbago

Lumbago differs from both paralysis and cramp of the lower bac...

Eruptions

See Hives; "Outstrikes;" Saltrome, etc. ...

The Rational Care Of Self

A WOMAN who had had some weeks of especially difficul...

Auricular Fibrillation Diagnosis

If the pulse is intermittent and there is apparently a heart ...

During And After Desquamation The Treatment Should Be Continued As

indicated in milder cases, except the throat continue troubleso...

Clothing

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

Cholera Malignant

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



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



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 958