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The use of these to give temporary relief, often degenerating ...
The Resort Treatment Of Chronic Heart Disease
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By this we mean, not the nerve trouble which follows a sudden ...
Difficulties In The Introduction Of The Bronchoscope
The beginner may enter the esophagus instead of the trachea:...
Pulmonary Stenosis Pulmonary Obstruction
If stenosis is actually present in this location, the lesion ...
Breast With Corded Muscles
Often a slight hardness shows itself in a woman's breast, when...
Some things regarding this useful fruit require to be noted by...
Some most distressing troubles come as the result of frights. ...
Cramp In The Limbs
The treatment of this is to apply cold cloths to the roots of ...
Delicacy of touch and manipulation are an absolute necessity...
Compression Stenosis Of The Trachea And Bronchi
Compression of the trachea is most commonly caused by goiter...
Diverticulum Of The Esophagus
Diverticula may, and usually do, consist in a pouching by her...
To Prevent Colds
Keep the _arms_, _hands_ and _chest_ well clothed and warm. ...
The Progress Of Disease: Irritation, Enervation, Toxemia
Disease routinely lies at the end of a three-part chain that ...
Punctures Case I
A.B. received a severe punctured wound by a hook of the size ...
See Fever, Typhoid. ...
The lunar caustic is very useful in the treatment of this pai...
Pain Severe In Limbs
This is often not due to any trouble in the joint itself, but ...
This seems a very simple thing to do, but is by no means easy ...
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.
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