|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesOn The Treatment By Eschar And Poultice
In many cases in which it is impossible to adopt either the m...
JOHANN JOSEPH GASSNER, who was regarded as a thaumaturge by h...
The Ammonium Carbonicum
recommended by Peart, has been considered by many as a specif...
Rest In Sleep
HOW do we misuse our nervous force? First, let us con...
Often inflammation occurs in the centre of, or beneath, a mass...
Where The Temperature Is Too Low That Is Below 98-2/5 Deg
rub all over with warm olive oil, and clothe in good soft flan...
Hair Coming Off
There are many forms of this disfiguring trouble, both in the ...
Removal Of Open Safety Pins From The Trachea And Bronchi
Removal of a closed safety pin presents no difficulty if it i...
Exercise While Fasting
The issue of how much activity is called for on a fast is co...
Length Of The Fast
How long should a person fast? In cases where there are serio...
Diseases Of The Esophagus
The more frequent causes of the one common symptom of esophag...
Rules For Direct Laryngoscopy
1. The laryngoscope must always be held in the left hand, nev...
Stings Of Insects
The effect produced by the sting of Bees, Wasps, and Hornets ...
Our Relations With Others
EVERY one will admit that our relations to others sho...
See Headache. ...
Get a sufficient quantity of good bran in an ordinary washhand...
Alkalis (eg Ammonia Soda Or Potash)
Give dilute vinegar, followed by white of egg. ...
The Effect Of Athletics On The Heart
We can no longer neglect the seriousness of the effects of c...
The pleura is the tender double web, or membrane, which lines ...
This is the accumulation of gases in the body, usually caused ...
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: