|While working on a sermon the pastor heard a knock at his office door. "Come in," he invited. A sad-looking man in threadbare clothes came in, pulling a large pig on a rope. "Can I talk to you for a minute?" asked the ma... Read more of How To Bathe A Cat at Free Jokes.ca|| Informational|
Medical ArticlesWhat Keeps Us Alive
The Energy in Food and Fuel. The first question that arises i...
Lumbago differs from both paralysis and cramp of the lower bac...
Eyes Cataract On
This disease has been arrested, and in earlier stages even cur...
Cardiovascular Renal Disease Arrhythmia
While this terns really signifies irregularity and intermit...
Angina Pectoris Symptoms
The pain of true angina pectoris generally starts in the regi...
Affection Of The Cerebellum And Spine
In affections of the _cerebellum_ and _spinal marrow_, the pa...
The Unrelenting Boredom Of Fasting
Then there's the unrelenting boredom of fasting. Most people ...
Probably most acute infections cause more or less myocarditis...
A few of the anatomical details must be kept especially in mi...
As intimated in the preceding paragraph, the diet during end...
Treatment Of Broken Compensation
The consideration of this subject will include the following ...
Tea should not be infused longer than three or four minutes, an...
While this name is more or less unfortunate, it has long been...
Emetic; warm coffee, and even an enema of coffee. Artificial r...
IN climbing a mountain, if we know the path and take it as a ...
Passing the cricopharyngeus is the most difficult part of es...
Dripping Sheet Substitute For The Half-bath
To apply the _dripping sheet_, a tin bathing hat or a large w...
Difficulties Of Direct Laryngoscopy
The larynx can be directly exposed in any patient whose mout...
In all fevers, to cool down the excessive heat of the patient ...
Ulcers Case Xxiii
Mr. Marshall, aged 60, had a troublesome ulcer under the oute...
Category: 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.
Previous: Plate V Laryngeal And Tracheal Stenoses: