|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesKidney Complaints
See Urinary Troubles. ...
The Extraction Of Tightly Fitting Foreign Bodies From The Bronchi
Annular Edema Such objects as marbles, pebbles, corks, etc.,...
No hook greater than a right angle should be used through en...
Foreign Bodies In The Air And Food Passages
The air and food passages may be invaded by any foreign subst...
This arises generally, from inflammation of the mucous membra...
Punctures Case Vii
Mr. Parr, aged 30, of delicate habit, trod upon a needle whic...
The author wishes to caution the reader not to rely merely on...
As intimated in the preceding paragraph, the diet during end...
During an epidemic of scarlatina in 1836 two of my children w...
The use of these to give temporary relief, often degenerating ...
Constipation Of Bowels
This disease may proceed from either a negative condition--a ...
This disease, or its approach, may be known by several signs: ...
What Is Constipation?
Most people think they are not constipated because they have ...
List Of Instruments
The following list has been compiled as a convenient basis f...
Esophagoscopy For Foreign Body
Inflammation Of The Bowels - Enteritis
This consists in inflammation of the muscular and peritoneal ...
Ulcers Case Xxvi
The following case occurred in the person of a lady with vari...
The chief traumatic factors in chronic laryngeal stenosis ar...
will often cure malignant ulcers both of the breast and uteru...
Highly Inflamed Throat Croup
If the _throat_ is in a highly inflamed condition, repeated p...
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