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During an epidemic of scarlatina in 1836 two of my children w...
For slight bruises, such as children frequently get by falling...
Gangrene Of The Lung
Pulmonary gangrene has been followed by recovery after the e...
For all kinds of burning inflammatory pain in the eyes, the fo...
Intermittent Fever, Ague or Chill Fever. This comes on wit...
Ulcers Case Xxiv
The following case must not be regarded as altogether triflin...
Breath And Blood
Often difficulty of breathing, especially in close air, mistak...
Examination Of The Trachea And Bronchi
All bronchial orifices must be identified seriatim; because ...
The Surgical Dissection Of The Popliteal Space And The Posterior Crural Region
On comparing the bend of the knee with the bend of the elbow,...
Sometimes the red patches of the rash are covered with small ...
Pain Severe In Limbs
This is often not due to any trouble in the joint itself, but ...
Quiet Vs Chronic Excitement
SOME women live in a chronic state of excitement all ...
See Teething. ...
Angioneurotic edema manifests itself by a pale or red swolle...
The gastroscope is of the same construction as the esophagos...
See Convulsions; Nervous Attack. ...
Seamill Sanatorium And Hydropathic
Very soon after the appearance of these "Papers on Health," th...
A mother who has had strength to bear a child is, as a rule, q...
From The Hygienic Dictionary
Cure.  There is no "cure" for disease; fasting is not a cur...
Instructions To The Patient
Before beginning endoscopy the patient should be told that h...
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
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