acts very beneficially when applied to the surface where ther...
Pain is often felt in parts of the back or sides which will yi...
Clothes should be Loose and Comfortable. Man is the only anim...
See Angina Pectoris. ...
Necessity Of Allaying The Heat
The packs and baths should be continued, even when the patien...
Why We Cook our Food. While some of all classes of food may...
HOWEVER disagreeable other people may be,--however un...
For this, rub the whole back with soap lather (see Lather; Soa...
A snake bite is only one of a large class of injuries which ma...
This trouble we may consider in three ways:--First, as the eff...
Quacks And Quackery Continued
An English physician, who practised during the early part o...
To Prevent Itch
A dose of _Sulphur_, or rubbing a little flour of sulphur on ...
The wet compress on the throat in torpid cases should not be ...
This fever may be either intermittent, remitting, or continue...
Inflammation Of The Bowels - Enteritis
This consists in inflammation of the muscular and peritoneal ...
Angioneurotic edema manifests itself by a pale or red swolle...
The Stiffening Rods Of The Body-machine
What Bones Are. The bones are not the solid foundation and fr...
These frequently remain as the so-called dregs of some illness...
Ankle Twisted Or Crushed
Place the foot as soon as possible in warm water, as hot as ca...
Rich Foods Brandy Beef-tea Etc
must be avoided. Involuntary starting, and the manifestation...
Technic Of Laryngeal Operations
Category: DIRECT LARYNGOSCOPY 2
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Preparation of the patient and
anesthesia have been mentioned under their respective chapters. The
prime essential of successful laryngeal operations is perfect mastery
of continuous left-handed laryngeal exposure. The right hand must be
equally trained in the manipulation of forceps, and the right eye to
gauge depth. Blood and secretions are best removed by a suction tube
(Fig. 9) inserted through the laryngoscope, or directly into the
pharynx outside the laryngoscope.
For the removal of benign growths the author's papilloma forceps,
Fig. 29, or the laryngeal grasping forceps shown in Fig. 17 will prove
more satisfactory than any form of cutting forceps. These growths
should be removed superficially flush with the normal structure. The
crushing of the base incident to the plucking off of the growth causes
its recession. By this conservative method damage to the cords and
impairment of the voice are avoided. For growths in the anterior
portion of the larynx, and in fact for the removal of most small
benign growths, the anterior commissure laryngoscope is especially
adapted. Its shape allows its introduction into the vestibule of the
larynx, and if desired it may be introduced through the glottic chink
for the treatment of subglottic conditions. It will not infrequently
be observed that a pedunculated subglottic growth which is found with
difficulty will be pulled upward into view by the gauze swab
introduced to remove secretions. The growth is then often held tightly
between the approximated cords for a few seconds--perhaps long enough
to grasp it with forceps.
Next: Removal Of Growth From The Laryngeal Ventricle
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