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Medical ArticlesBronchoscopesThe regular bronchoscope is a hollow brass tube slanted at i... Decline See Consumption. ... The Roentgenographic Signs Of Expiratory-valve-like Bronchial Obstruction The roentgenray signs in expiratory valve-like obstruction of... Cuprum Aceticum (_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers... Alkalis (eg Ammonia Soda Or Potash) Give dilute vinegar, followed by white of egg. ... The Muscles Importance of the Muscles. It wouldn't be of much use to sm... Symptomatology And Treatment Of Chronic Valvular Lesions Before discussing the treatment of broken compensation in gen... Appetite Should be an indication that food in general or some certain k... Practice On The Dog Having mastered the technic of introduction on the cadaver a... Croup Treat croup, whether membranous or spasmodic, much the same a... Nicotine (tobacco) Emetic; stimulate and keep warm; keep patient lying down. ... Clothing Clothing should be light yet warm, and sufficiently free so as... Croup More Serious Form This is caused by an accumulation of material in the windpipe,... Convalescence When compensation has been restored, the patient may be allow... Sleep And Rest Why We Need Rest. A most important element in a life of healt... Common Cramp Although either the positive or the negative pole, applied to... Physics Of Mitral Stenosis Mitral stenosis, though less common than mitral regurgitation... Examination Of The Trachea And Bronchi All bronchial orifices must be identified seriatim; because ... Why People Get Sick This is the Theory of Toxemia. A healthy body struggles conti... Where There Is A Will There Is A Way! I have been frequently compelled to resort to these milder ap... |
Inspection Of The Party Wall In Cases Of Suspected Laryngeal MalignancyCategory: BRONCHOSCOPY IN MALIGNANT GROWTHS OF THE TRACHEA Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery When taking a specimen the party wall should be inspected by passing a laryngoscope or, if necessary, an esophageal speculum down through the laryngopharynx and beyond the cricopharyngeus. If this region shows infiltration, all hope of cure by operation, however radical, should be abandoned. Radium and the therapeutic roentgenray have given good results, but not such as would warrant their exclusive use in any case of malignancy in the larynx operable by laryngofissure. With inoperable cases, excellent palliative results are obtained. In some cases an almost complete disappearance of the growth has occurred, but ultimately there has been recurrence. The method of application of the radium, dosage, and its screening, are best determined by the radiologist in consultation with the laryngologist. Radium may be applied externally to the neck, or suspended in the larynx; radium-containing needles may be buried in the growth, or the emanations, imprisoned in glass pearls or capillary tubes, may be inserted deeply into the growth by means of a small trocar and cannula. For all of these procedures direct laryngoscopy affords a ready means of accurate application. Tracheotomy is necessary however, because of the reactionary swelling, which may be so great as to close completely the narrowed glottic chink. Where this is the case, the endolaryngeal application of the radium may be made by inserting the container through the tracheotomic wound, and anchoring it to the cannula. The author is much impressed with Freer's method of radiation from the pyriform sinus in such cases as those in which external radiation alone is deemed insufficient. The work of Drs. D. Bryson Delavan and Douglass M. Quick forms one of the most important contributions to the subject of the treatment of radium by cancer. (See Proceedings of the American Laryngological Association, 1922; also Proceedings of the Tenth International Otological Congress, Paris, 1922.) Next: Bronchoscopy In Malignant Growths Of The Trachea Previous: Differential Diagnosis Of Laryngeal Growths In The Larynx Of Adults
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