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is small pox modified by vaccination. It is to be treated as ...
Introduction Of The Bronchoscope
No one should do bronchoscopy until he is able to expose the ...
(_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers...
Acute Dilatation Of The Stomach
This condition is not well understood, nor is its frequence k...
No hook greater than a right angle should be used through en...
Lues Of The Tracheobronchial Tree
Compared to laryngeal involvement, syphilis of the tracheobr...
Period Of Incubation Or Hatching
The time which passes between the reception of the contagious...
The Surgical Dissection Of The Superficial Bloodvessels Etc Of The Inguino-femoral Region
Hernial protrusions are very liable to occur at the inguino-f...
acts favorably on cancers, and is a specific when applied to ...
Whether any drug should be used which acts directly on the he...
It may be proper, in this place, to spend a few words upon el...
Rubbing Sheet Substitute For The Half-bath
It cannot be difficult to procure a wash-tub. Should you be s...
These are often performed in cases in which proper treatment o...
Treat as under Fever, Gastric, and Fever. In addition, great c...
Bronchoscopy In Diseases Of The Trachea And Bronchi
The indications for bronchoscopy in disease are becoming inc...
Symptoms And Signs Of Cardiac Disturbance
It is now recognized that any infection can cause weakness an...
The Relation Of The Internal Parts To The External Surface Of The Body
An exact acquaintance with the normal character of the extern...
From The Hygienic Dictionary
Cure.  There is no "cure" for disease; fasting is not a cur...
Punctures Case I
A.B. received a severe punctured wound by a hook of the size ...
Palpitation Of The Heart
This is commonly a symptomatic or sympathetic affection--rare...
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