VIEW THE MOBILE VERSION of www.homemedicine.ca Informational Site Network Informational
Privacy


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Measles

_Measles_, which may be easily distinguished from scarlatina,...

Chills

(1) Nerve or imaginary chills. These are feelings of cold, whe...

Pain Severe In Limbs

This is often not due to any trouble in the joint itself, but ...

Illustrations

I shall give a couple of illustrations: In the winter of 1...

The Freedom Of Life

I AM so tired I must give up work," said a young woma...

Neuralgia

This is severe pain in one part or other of the body, sometime...

Drinks Refreshing

This is a matter of great importance to the sick. Nor is anyth...

Pulmonary Stenosis Pulmonary Obstruction

If stenosis is actually present in this location, the lesion ...

Cures Losing Their Effect

After a fortnight's treatment often matters seem to come to a ...

Throat Hoarseness

This is best treated by a good large BRAN POULTICE (see) on th...

Nervousness

This frequent and distressing trouble is to be traced to a sta...

Narcotics

The use of these to give temporary relief, often degenerating ...

Differential Diagnosis Of Laryngeal Growths In The Larynx Of Adults

Determination of the nature of the lesion in these cases usu...

Croup

Treat croup, whether membranous or spasmodic, much the same a...

The Half-bath The Sitz- Or Hip-bath

Should the half-bath or shallow-bath (which are technical ter...

Punctures Case V

Mr. Cocking's son, aged 12, received a stab in the palm of th...

Esophagoscopes

The esophagoscope, like the bronchoscope, is a hollow brass ...

Eyes Spots On

These spots are of two different kinds, and yet they are very ...

Bowels Reversed

See Bowels, Locking of, above. ...

Fomentation

Some general remarks on this important treatment we give here....



Paralysis





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.





Next: Ankylosis

Previous: Plate V Laryngeal And Tracheal Stenoses:



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 897