Peroral endoscopy and laryngeal surgery . fthe tube. E, has not been passed at the side of the tongue it is nowslii)])ed over to the lower corner of the mouth. 11. .itid the headis tilted o\er to the same >ide wliile the o1iser\er thrciugli thetube. Tile second assistant must keej) the larynx lixed and in the ver-tical position. The tube is ;idvanccd until the ventricular band is fiat-tened and the growth can be renioxed from the ventricle. 110 DIRECT LARYNGOSCOPY. Removal of large benign tumors of the larynx above the author often uses for this class of case th
Peroral endoscopy and laryngeal surgery . fthe tube. E, has not been passed at the side of the tongue it is nowslii)])ed over to the lower corner of the mouth. 11. .itid the headis tilted o\er to the same >ide wliile the o1iser\er thrciugli thetube. Tile second assistant must keej) the larynx lixed and in the ver-tical position. The tube is ;idvanccd until the ventricular band is fiat-tened and the growth can be renioxed from the ventricle. 110 DIRECT LARYNGOSCOPY. Removal of large benign tumors of the larynx above the author often uses for this class of case the alligator punch 36. They can be inserted through the authors laryngoscope, butthe best way is by the authors ex-tubal method. The forceps are in-serted alongside the laryngoscope, which is used only to look throughfor the accurate ocular guidance of the forceps as shown in the schemaFig. 84. The jaws can be placed and the bite made with great side-slide laryngoscope (Fig. l-)) because of its oval lumen is pre-. FiG. 83.—Schema illustrating the lateral method of exposing a growth in theventricle of Morgani, by bending the patients head to the opposite side while thesecond assistant externally fixes the larynx with his hand. M, patients , thyroid cartilage. R, right side, L, left. V, B, ventricular band. C, C, vocalcord. The circular drawing indicates the endoscopic view obtainalile by this tube, E, is dropped to the corner of the mouth, B, and the tube is inserteddown to R. ferred by many operators some of whom leave the slide oft. In case ofstill larger tumors with more or less pedunculated base the heavy snare,Fig. 41, may be used to excellent advantage by the ex-tubal some of the authors cases tumors the size of a hens egg have beenthus removed. Sessile growths may be removed by the galvano-cauterysnare, but the author prefers forceps. Of course, there could be nohope of thorough removal of malignancy by such means ; a
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
