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Treatment Of Other Eruptive Fevers

The treatment as prescribed for scarlatina in this pamphlet, ...

Artistic Considerations

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

Worms

It is difficult to determine the presence of _worms_ in child...

Heel Sprained

Often in sprains all attention is given to the bruised and tor...

Nerve Pain

See Pain. ...

Fever Intermitting

For this the treatment may be given as in gastric fever, and, ...

Children's Treatment

This should always be managed so as to soothe and not excite t...

Length Of Pack

Usually it is time for the patient to come out from his pack,...

Sentiment _versus_ Sentimentality

FREEDOM from sentimentality opens the way for true sentiment....

Symptoms Of Laryngeal Foreign Body

1. Initial laryngeal spasm followed by wheezing respiration...

Temperature Of The Sick-room

The _temperature of the sick-room_ should not be much above 6...

Ankle Swelling

When long continued in connection with disease or accident, th...

Dripping Sheet Substitute For The Half-bath

To apply the _dripping sheet_, a tin bathing hat or a large w...

Spine Misshapen

Often in the case of delicate infants or children, the bones o...

Cephalagia Headache

1. "Nervous headache." Take the B D current--moderate force. ...

Differential Diagnosis Of Laryngeal Growths In The Larynx Of Adults

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

Leucorrhea Whites

Take A D current, very mild force. Introduce the vaginal elec...

Limbs Inflamed

Entirely different treatment from the above is needed for such...

Chest Protectors

These are often piled on the front of the body, while the far ...

Decannulation After Cure Of Laryngeal Stenosis

In order to train the patient to breathe again through the la...



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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