The first sign of such an illness is a brief and slight attack...
If the bowels are known to be in excellent condition and not ...
Indications For Esophagoscopy In Disease
Any persistent abnormal sensation or disturbance of function...
Foods For Monodiet, Juice Or Broth Fasting
zucchini, garlic, onion, green beans, kale, celery, beet gree...
The treatment under Glands, Swollen, should be followed. But b...
Preparation Of Medicine
As it often becomes necessary for the practitioner to make mo...
Physical Signs In Esophageal Foreign Body
There are no constant physical signs associated with uncompli...
The stomach of any individual having a normal esophagus and n...
These frequently remain as the so-called dregs of some illness...
Diseased bone is not incurable. Bone is indeed constantly bein...
Symptomatology And Diagnosis Of Foreign Bodies In The Air And Food Passages
Initial symptoms are choking, gagging, coughing, and wheezing...
Differential Diagnosis Of Laryngeal Growths In The Larynx Of Adults
Determination of the nature of the lesion in these cases usu...
If these are of the nature of cramps, which come on while lyin...
This symptom or affection, (if it can be classed as a disease...
Inflammation Of The Brain
See Brain. See also Knee; Limbs, Inflamed; Lungs, etc. ...
The symptoms are increased tension, which means, sooner or la...
Preparation Of The Patient For Peroral Endoscopy
The suggestions of the author in the earlier volumes in regar...
Early Symptoms Of Irritating Foreign Body Such As A Peanut Kernel In The Bronchus
1. Initial laryngeal spasm is almost invariably present wit...
Philosophy Of Disease And Cure
In every part of the animal economy, polar derangements in th...
Direction Of The Esophagus
The esophagus enters the chest in a decidedly backward as we...
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