|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesChronic Myocarditis Fibrous
Chronic myocarditis may develop on an acute myocarditis, but ...
As this inflammation is generally secondary to some other c...
Chloroform Or Ether (swallowed)
Emetic; enema of hot coffee; keep awake. If necessary, artific...
What Is Constipation?
Most people think they are not constipated because they have ...
Brow The Weary
Sometimes in the case of a child at school, the result of over...
The Distinctive Diagnosis Between External And Internal Inguinal Herniae The Taxis The Seat Of Stricture And The Operation
A comparison of the relative position of these two varieties ...
See Boil. ...
Enlargement Of Liver
Take A D current, with medium force. Place N. P., some three ...
Complications Following Esophagoscopy
These are to be avoided in large measure by the exercise of ...
The Speech Organs
The Voice, a Waste Product. It is one of the most curious thi...
The simplest, best, and safest source of current is a double...
Take the B D Faradaic current--moderate strength. If the affe...
These are often a really serious trouble, especially to women,...
Resume Of After-care Of A Tracheotomic Case
1. Always bear in mind that tracheotomy is not an ultimate ...
Esophageal Foreign Body
After initial choking and gagging, or without these, there m...
This trouble is found in the double form; first, of limbs whic...
Diffuse Dilatation Of The Esophagus
This is practically always due to stagnation ectasia, which i...
Skin eruptions, known under this name, have very various cause...
We give this name to a trouble from which we have been able to...
I have little to say with regard to _diet_, at least to physi...
Inspection Of The Party Wall In Cases Of Suspected Laryngeal Malignancy
Category: 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
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