Skin eruptions, known under this name, have very various cause...
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,...
This disease is caused by inflammation of the mucous membrane...
Nourishment Cold In
If a person is in fever, and is burning with internal heat, a ...
Ancient Medical Prescriptions
From early times it was a universal custom to place at the ...
During And After Desquamation The Treatment Should Be Continued As
indicated in milder cases, except the throat continue troubleso...
The Relative Position Of The Superficial Organs Of The Thorax And Abdomen
In the osseous skeleton, the thorax and abdomen constitute a ...
Independent aspirating tubes involve delay in their use as c...
The Surgical Dissection Of The Sterno-clavicular Or Tracheal Region And The Relative Position Of Its Main Bloodvessels Nerves &c
The law of symmetry governs the development of all structures...
Tricuspid Stenosis Tricuspid Obstruction
This is rare and probably always congenital, and is supposed ...
A low systolic pressure and a low diastolic pressure may no...
Among the various subjects which belong to the province of ...
Blood Supply Of
To supply good blood in cases where it is lacking, either from...
The Stiffening Rods Of The Body-machine
What Bones Are. The bones are not the solid foundation and fr...
Neuralgia And Rheumatism Of The Heart
If neuralgia, use B D current; if rheumatism, use A D. In eit...
Simple remedies such as we advocate are found of immense servi...
See Bleeding; Wounds. ...
There are two opposite causes of unconsciousness. One is conge...
Disorders Of Muscles And Bones
The Muscles and Bones Have Few Diseases. Considering how comp...
See Consumption. ...
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.)
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