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Earache - Otalgia

This may arise from various causes, but a common one is sudde...

Lues

Active and persistent antiluetic medication must precede and ...

Limb Saving A

The proper growth of the body in any part depends on the power...

Other Lesions

Tricuspid insufficiency, except as rarely found in the fetus,...

Growth Of Body

See Limb, Saving a. ...

Throat Hoarseness

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

To Prevent Yellow Fever

Take _Aconite_, _Belladonna_ and _Macrotin_, 1st in rotation ...

Emergency Tracheotomy

Stabbing of the cricothyroid membrane, or an attempted stabb...

Artistic Considerations

ALTHOUGH so much time and care are given to the vario...

Children And Teachers

Children are of the utmost value to society; through any one o...

Eyes Cataract On

This disease has been arrested, and in earlier stages even cur...

Eyes Failing Sight

This often comes as the result simply of an over-wearied body ...

Abscess Of The Lung

If of foreign-body origin, pulmonary abscess almost invariab...

Consumption Prevention Of

This most insidious and deadly disease is caused by a tiny veg...

Tissue Forceps

With the forceps illustrated in Fig. 28 specimens of tissue ...

Prevention

If the patient is weak, the circulation depressed, the blood ...

Wounds Soothing

During the process of healing, wounds often give a great deal ...

Child-bearing

Simple remedies such as we advocate are found of immense servi...



...

Ears Running

In this trouble there is indicated a failure somewhere of the ...



Radiotherapy





Category: DIRECT LARYNGOSCOPY IN DISEASES OF THE LARYNX
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Radium and the therapeutic roentgenray are today our
only effective means of retarding the progress of esophageal malignant
neoplasms. No permanent cures have been reported, but marked temporary
improvement in the swallowing function and prolongation of life have
been repeatedly observed. The combination of radium treatment applied
within the esophageal lumen and the therapeutic roentgenray through
the chest wall, has retarded the progress of some cases.

The dosage of radium or the therapeutic ray must be determined by the
radiologist for the particular individual case; its method of
application should be decided by consultation of the radiologist and
the endoscopist. Two fundamental points are to be considered, however.
The radium capsule, if applied within the esophagus, should be so
screened that the soft, irritating, beta rays, and the secondary rays,
are both filtered out to prevent sloughing of the esophageal mucosa.
The dose should be large enough to have a lethal effect upon the
cancer cells at the periphery of the growth as well as in the center.
If the dose be insufficient, development of the cells at the outside
of the growth is stimulated rather than inhibited. It is essential
that the radium capsule be accurately placed in the center of the
malignant strictured area and this can be done only by visual control
through the esophagoscope (Fig. 95)

Drs. Henry K. Pancoast, George E. Pfahler and William S. Newcomet have
obtained very satisfactory palliative effects from the use of radium
in esophageal cancer.





Next: Direct Laryngoscopy In Diseases Of The Larynx

Previous: Treatment



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