This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1904 edition. Excerpt: ...the epiglottis. The epiglottis is now seized and brought out through the wound, and the growth removed in such a manner as appears most suitable to the individual case. The length of the incision and the structures which are divided vary according to the size and situation of the tumour. There is little if any hmmorrhage, the vessels wounded being few in number and insignificant in size. After the operation the wound is carefully closed with fine silk sutures, and healing should take place by first intention. (3) Infrathyroid Laryngotomy.--This operation has been advocated and practised for the removal of growths on the under aspect of the cords, or actually below the cords (subglottic growths). Thyrotomy, however, with a downward extension of the incision gives more room and a better chance of thorough removal of the disease, and is therefore to be preferred. By this means Butlin has removed tumours an inch below the vocal cords, and for those which lie immediately below the cords there is no necessity to practise even a modification of the ordinary operation of thyrotomy. Infrathyroid laryngotomy is performed in just the same way as laryngotomy, but the incision is made transversely, and not vertically, as in laryngotomy. The only vessel likely to give rise to any haemorrhage is the crico-thyroid artery, and, if cut, its ends should be secured before incising the crico-thyroid membrane. (4) Thyrotomy or Laryngo-fissure has, during the last fifteen years, been performed much more frequently than any other operation for the removal of malignant disease of the larynx in this country, and has steadily gained in repute during that period. It is particularly applicable to sarcomas and carcinomas of intrinsic origin. As Butlin (in conjunction...
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- Paperback | 28 pages
- 189 x 246 x 2mm | 68g
- 14 Jan 2013
- Rarebooksclub.com
- Miami Fl, United States
- English
- black & white illustrations
- 1234116421
- 9781234116422
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