|Sea Stories.ca - Stories about the sea, sailing, exploring and adventure. Visit Sea Stories.ca|| Informational|
Medical ArticlesAnesthesia For Peroral Endoscopy
A dyspneic patient should never be given a general anesthetic...
The key to action in case of epidemics prevailing in the distr...
See Band, Flannel. ...
Inflammation Of The Finger Case Xxxi
A young man, aged 18, came to me with a painful swelling of t...
If an epidemic prevails in the neighbourhood, or a case occurs...
Where There Is A Will There Is A Way!
I have been frequently compelled to resort to these milder ap...
Myocarditis Fibrous Management
The advice he should receive is well understood: to avoid phy...
Diet For The Chronically Ill
The chronically ill person has a long-term degenerative con...
Punctures Case Vii
Mr. Parr, aged 30, of delicate habit, trod upon a needle whic...
Feet Giving Way
Where there is a great deal of standing to be done by any one,...
The lunar caustic is very useful in the treatment of this pai...
Use the A D current, medium force. Treat with P. P. over the ...
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...
Sudden Invasion Of The Nervous Centres
Of the different forms of scarlatina maligna the most dangero...
The Tongue is not Used chiefly for Tasting. If you will notic...
Running The Human Automobile
The Body-Automobile. If you were to start to-morrow morning...
Cases Beyond The Remedy Of Fasting
Occasionally, very ill people have a liver that has become so...
This symptom or affection, (if it can be classed as a disease...
Take A D current, very mild force. Introduce the vaginal elec...
The treatment of shock will probably always be unsatisfactory...
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