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Medical ArticlesDiagnosisThe swallowing function can be studied only with the fluoros... Cadaver Practice The fundamental principles of peroral endoscopy are best tau... Diet For The Acutely Ill The acutely ill person experiences occasional attacks of dist... Weakness Often there follows, after the cure of an inflammatory disease... Prognosis If the foreign body be not removed, the resulting chronic se... Throat Hoarseness This is best treated by a good large BRAN POULTICE (see) on th... Weight Loss By Fasting Loss of weight indicates, almost guarantees, that detoxificat... Exercise And Growth Fatigue as a Danger Signal. The chief use of exercise in ch... Our Relations With Others EVERY one will admit that our relations to others sho... Torpid Reaction Asthenic The more violent the contagious poison, and the weaker the or... Throat Sore (clergyman's) Those who are in the habit of using their voice much should be... Diagnosis Of Foreign Body In The Air Or Food Passages The questions arising are: I. Is a foreign body present? ... Plate V Laryngeal And Tracheal Stenoses: 1, Indirect view, sitting position; postdiphtheric cicatricia... Food In Health As will be seen from many of these articles, the question of d... Lessons From Nutritional Anthropology The next logical pair of questions are: how healthy could goo... Limbs Inflamed Entirely different treatment from the above is needed for such... 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... Symptoms Of Prolonged Foreign Body Sojourn In The Bronchus 1. The time of inhalation of a foreign body may be unknown ... Unethical Illness I see a lot of spiritually-induced physical illness in my pra... Chlorosis Green Sickness This is a disease mostly or entirely peculiar to young women ... |
ParalysisCategory: CHRONIC STENOSIS OF THE LARYNX AND TRACHEA Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery Bilateral abductor laryngeal paralysis causes severe stenosis, and usually tracheotomy is urgently required. In cadaveric paralysis both cords are in a position midway between abduction and adduction, and their margins are crescentic, so that sufficient airway remains. Efforts to produce the cadaveric position of the cords by division or excision of a portion of the recurrent laryngeal nerves, have been failures. The operation of ventriculocordectomy consists in removing a vocal cord and the portion or all of the ventricular floor by means of a punch forceps introduced through the direct laryngoscope. Usually it is better to remove only the portion of the floor anterior to the vocal process of the arytenoid. In some cases monolateral ventriculocordectomy is sufficient; in most cases, however, operation on both sides is needed. An interval of two months between operations is advisable to avoid adhesions. In almost all cases, ventriculocordectomy will result in a sufficient increase in the glottic chink for normal respiration. The ultimate vocal results are good. Evisceration of the larynx, either by the endoscopic or thyrotomic method, usually yields excellent results when no lesion other than paralysis exists. Only too often, however, the condition is complicated by the results of a faultily high tracheotomy. A rough, inflexible voice is ultimately obtained after this operation, especially if the arytenoid cartilage is unharmed. In recent bilateral recurrent paralysis, it may be worthy of trial to suture the recurrent to the pneumogastric. Operations on the larynx for paralytic stenosis should not be undertaken earlier than twelve months from the inception of the condition, this time being allowed for possible nerve regeneration, the patient being made safe and comfortable, meanwhile, by a low tracheotomy. Next: Ankylosis Previous: Plate V Laryngeal And Tracheal Stenoses:
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