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Medical ArticlesAlkaliesAnything which tends to increase the acidity of the tissues a... Drowning Many valuable lives have been saved by an elementary knowledge... Varieties Of Forms Of Scarlatina The above is the description of scarlet-fever, as it most fre... After Pains See Child-bearing. ... Club Foot Children are not unfrequently born with this deformity in one ... Nephritis Inflammation Of Kidneys 1. Acute. If the urinary secretion be reddish and scant, with... Endogastric Version A very useful and comparatively safe method is illustrated i... Guaiacum This drug is a West Indian gum, and is one of those remedies w... Remedy Finding A It will sometimes occur, in the case of those endeavouring to ... Cancer In Foot We have noted one case in which "Cancerous Gangrene" in the fo... Unfavorable Symptoms are: A fetid breath, with ulceration and sloughing of the thr... Caffein Caffein can irritate the heart and cause irregularity and ta... Cardan JEROME CARDAN, an Italian physician, author, mathematician an... Infant Nursing A mother who has had strength to bear a child is, as a rule, q... Phosphorus Often caused by children sucking matches. There is a burning i... Ulcers Case Xxvii Mrs. Wakefield, aged 36, had an extensive ulceration with exc... Destruction Of The Organ Of Hearing When the glands pass into a sloughing state, the parts connec... Bronchitis This frequent and severe trouble results most usually from chi... Erysipelas This is a disease of the skin, producing redness, burning and... Necessity Of Allaying The Heat The packs and baths should be continued, even when the patien... |
Endoscopy In Malignant Disease Of The LarynxCategory: 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
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