InformationalPrivacy
| Whose occupation was that of a toll-gatherer, was born at Nazareth. He wrote his gospel in Hebrew, which was afterwards translated into Greek by James the Less. The scene of his labors was Parthia, and Ethiopia, in which latter country he su... Read more of Matthew at Martyrs.ca | Informational Privacy |
 |
Home |
Medical Articles |
Mother's Remedies |
Household Tips |
Medicine History |
Forgotten Remedies |
Search |
Medical ArticlesGoutSome have a predisposition to this most painful disease, and r... Running The Human Automobile The Body-Automobile. If you were to start to-morrow morning... The Future Of Life Extension I beg the readers indulgence for a bit of futurology about wh... Arsenic Emetic, followed by white of egg. Keep very warm. ... Hands Dry And Hard Pack the hands in SOAP LATHER (see) mixed with a little fine o... Measles An attack of this disease generally begins with a feeling of w... Cold Cloths See Towels, Cold Wet. ... Prognosis Janeway [Footnote: Janeway, T. C.: A Clinical Study of Hypert... The Relation Of The Principal Bloodvessels Of The Thorax And Abdomen To The Osseous Skeleton Etc The arterial system of vessels assumes, in all cases, somewha... Turnip Poultice Part of a raw turnip is grated down to a pulp. As much of this... Feet Giving Way Where there is a great deal of standing to be done by any one,... Blood Pressure In Children May Michael, [Footnote: Michael, May: A Study of Blood Pressu... Dyspepsia This is one of the most difficult of diseases to control by a... Thumb Bruised And Broken Frequently a tradesman will strike the thumb or finger a serio... How To Give Yourself An Enema Enemas have been medically out of favor for a long time. Most... Decannulation After Cure Of Laryngeal Stenosis In order to train the patient to breathe again through the la... On The Unadherent Eschar The eschar is generally adherent in cases of recent injuries,... The Electric Circuit The Electric Circuit is made up of any thing and every thing ... Symptomatology And Treatment Of Chronic Valvular Lesions Before discussing the treatment of broken compensation in gen... Difficulties Of Esophagoscopy The beginner may find the esophagoscope seemingly rigidly fi... |
Taking A Laryngeal Specimen For DiagnosisCategory: 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 extubal method. 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
Viewed 481 |
||||||||||||||||||||
