|VIEW THE MOBILE VERSION of www.homemedicine.ca|| Informational|
Medical ArticlesEssentials Of A Successful, Safe Fast
1. Fast in a bright airy room, with exceptionally good ventil...
This disease generally comes on at night, in hot weather, and...
Children And Teachers
Children are of the utmost value to society; through any one o...
Action Of The Pack And Bath Rationale
The action of the wet-sheet pack is thus easily accounted for...
From The Hygienic Dictionary
Autointoxication.  the accumulations on the bowel wall be...
The Surgical Dissection Of The Sterno-clavicular Or Tracheal Region And The Relative Position Of Its Main Bloodvessels Nerves &c
The law of symmetry governs the development of all structures...
Esophagoscopic Extraction Of Foreign Bodies
It is unwise to do an endoscopy in a foreign-body case for th...
The Relations Of The Principal Bloodvessels To The Viscera Of The Thoracico-abdominal Cavity
The median line of the body is occupied by the centres of the...
Congenital And Pathological Deformities Of The Prepuce And Urethra Stricture And Mechanical Obstructions Of The Urethra
When any of the central organs of the body presents in a fo...
Menorrhagia Excessive Menstruation
If the menstrual flow is apt to terminate in hemorrhage, it i...
From The Hygienic Dictionary
Diagnosis.  In the United States, making a diagnosis impli...
Examination Of The Trachea And Bronchi
All bronchial orifices must be identified seriatim; because ...
Symptomatology And Diagnosis Of Foreign Bodies In The Air And Food Passages
Initial symptoms are choking, gagging, coughing, and wheezing...
Vegetables Green And Fruit
We would strongly recommend our readers to continually have th...
This is a very common trouble, especially in the young. To res...
A low systolic pressure and a low diastolic pressure may no...
Diet For The Acutely Ill
The acutely ill person experiences occasional attacks of dist...
Fruits And Vegetables
The Special Uses of Fruits and Vegetables. We come now to t...
Diagnosis From Measles
In scarlatina the heat is much greater, and the pulse is much...
These pains occur usually when a patient has been for some tim...
Taking A Laryngeal Specimen For Diagnosis
Category: DIRECT LARYNGOSCOPY 2
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
The diagnosis of
carcinoma, sarcoma, and some other conditions can be made certain only
by microscopic study of tissue removed from the growth. The specimen
should be ample but will necessarily be small. If the suspected growth
be small it should be removed entire, together with some of the basal
tissues. If it is a large growth, and there are objections to its
entire removal, the edge of the growth, including apparently normal as
well as neoplastic tissue, is necessary. If it is a diffuse
infiltrative process, a specimen should be taken from at least two
locations. Tissue for biopsy is to be taken with the punch forceps
shown in Fig. 28 or that in Fig. 33. The forceps may be inserted
through the tube or from the angle of the mouth; the extubal method
(see Fig. 58).
[FIG. 58.--Schema illustrating removal of a tumor from the upper part
of the larynx by the author's extubal method for large tumors. The
large alligator basket punch forceps, F, is inserted from the right
corner of the mouth and the jaws are placed over the tumor, T, under
guidance of the eye looking through the laryngoscope, L. This method
is not used for small tumors. It is excellent for amputation of the
epiglottis with these same punch forceps or with the heavy snare.]
Removal of large benign tumors above the cords may be done with the
snare or with the large laryngeal punch forceps. Both are used in the
Amputation of the epiglottis for palliation of odynophagia or
dysphagia in tuberculous or malignant disease, is of benefit when the
ulceration is confined to this region; though as to tuberculosis the
author feels rather conservatingly inclined. Early malignancy of the
extreme tip can be cured by such means. The function of the epiglottis
seems to be to split the food bolus and direct its portions laterally
into the pyriform sinuses, rather than to take any important part in
the closure of the larynx. Following the removal of the epiglottis
there is rarely complaint of food entering the larynx. The projecting
portion of the epiglottis may be amputated with a heavy snare, or by
means of the large laryngeal punch forceps (Fig. 33).
Next: Endoscopic Operations For Laryngeal Stenosis
Previous: Removal Of Growth From The Laryngeal Ventricle