Pedunculated malignant growths are readily removed with snar...
Proper exercise for the brain is most important. But this is n...
Preparation Of The Patient For Peroral Endoscopy
The suggestions of the author in the earlier volumes in regar...
The Direction Of The Body In Locomotion
LIFTING brings us to the use of the entire body, whic...
Auricular Fibrillation Auricular Flutter
Auricular fibrillation is at times apparently a clinical enti...
The Curative Influence Of The Imagination
At the present day the remarkable benefit which often resul...
A most common trouble is anaemia, a lack of good red blood, sh...
Anything which tends to increase the acidity of the tissues a...
The Half-bath The Sitz- Or Hip-bath
Should the half-bath or shallow-bath (which are technical ter...
If a chronic endocarditis has followed an acute condition, so...
This, in various forms, as brandy, whiskey, rum, wine, cordial...
Breath And The Skin
The organs of breathing remove much waste from the system, but...
is a most efficient remedy applied to old irritable _varicose...
An attack of this disease generally begins with a feeling of w...
Let us suppose a swelling appears on some part of the body or ...
The composition of different articles of food varies. A turnip ...
This is chiefly observed in children. The most frequently en...
Treatment Of Pseudo-anginas
The treatment of these pseudo-angibas depends, of course, on ...
Butter, Margarine And Fats In General
Recently, enormous propaganda has been generated against eati...
The patient should be placed in the recumbent position, with...
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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