Medical ArticlesBrain Rest
The need for this is often indicated by irritability of temper...
The Wet Compress
In bed, a wet compress is put on the throat, and another on t...
This most important matter of good sleep for the child depends...
THERE are very few persons who have not I had the experience ...
The Triviality Of Trivialities
LIFE is clearer, happier, and easier for us as things assume ...
Auricular Fibrillation Auricular Flutter
Auricular fibrillation is at times apparently a clinical enti...
Croup More Serious Form
This is caused by an accumulation of material in the windpipe,...
It may be proper, in this place, to spend a few words upon el...
Treatment Of Scarlatina Anginosa Or Sore-throat Scarlet-fever
In _scarlatina anginosa_, or _sore-throat scarlet-fever_, whi...
Our Wonderful Coat
What the Skin Is. The skin is the most wonderful and one of t...
No greater mistake could be made than to curtail the hours of ...
How To Be Ill And Get Well
ILLNESS seems to be one of the hardest things to happ...
Often in the case of delicate infants or children, the bones o...
Aortic Stenosis Aortic Obstruction
Valvular disease at the aortic orifice is much less common th...
Interpretation Of Tracings
The interpretation of the arterial tracing shows that the nea...
Rules For Direct Laryngoscopy
1. The laryngoscope must always be held in the left hand, nev...
Methods Of Treatment
Irritating applications probably provoke recurrences, becaus...
While the myocardium is the most important muscle structure...
Quacks And Quackery Continued
An English physician, who practised during the early part o...
Condition Of The Throat And Other Internal Organs
The condition of the _throat_ requires the most constant atte...
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