This forms a severe feature in many cases of illness, and has ...
Menorrhagia - Profuse Menses - Flowing
For this affection, _Ipecac_ and _Hamamelis_ are the specific...
The Surgical Dissection Of The Deep Structures Of The Male Perinaeum The Lateral Operation Of Lithotomy
The urethra, at its membranous part, M, Fig. 1, Plate 53, whi...
This should always be managed so as to soothe and not excite t...
Do Not Hurry
HOW can any one do anything well while in a constant ...
Importance Of Noting The Central Point
From the above observations, it will be plain that, when we w...
Get a sufficient quantity of good bran in an ordinary washhand...
Food And Mental Power
Unsuitable or ill-cooked food has a most serious effect on the...
Proteins Or Meats
Proteins, the First Foods. There are proteins, or meats, both...
Where persistent weariness is felt, and the least exertion bri...
Removal Of Double Pointed Tacks
If the tack or staple be small, and lodged in a relatively l...
Burns Case Xxxv
The following case will present a specimen of my trials of th...
Circulation Of The Blood
Nothing is more important for the health or healing of any org...
Running The Human Automobile
The Body-Automobile. If you were to start to-morrow morning...
Impossibility Of Answering For The Issue Of Every Typhoid Case
Although a _typhoid character_ of scarlatina will rarely set ...
The regular type of laryngoscope shown in Fig. I (A, B, C) i...
Complete Recovery Of The Seriously Ill
Its a virtual certainty that to fully recover, a seriously il...
Lather How To Make
One of the most powerful soothing influences which can be had,...
The Royal Touch
Malcolm. Well; more anon.--Comes the king forth, I pray ...
Bronchoscopic Oxygen Insufflation
Bronchoscopic oxygen insufflation is a life-saving measure eq...
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