Peroral endoscopy and laryngeal surgery . -ngectomylater, and if the glandular involvement is such that there is reason to be-. Fig. 490.—Plastic operation for repair of the esophagus after verj- extensiveesophageal resection at laryngectomy. The two upper flaps are turned epidermalsurface inward. Ordinarily the pharyngeal walls can lie drawn together withouttliese autoplastic dermal flaps. (After Molinie.) lieve that the mediastinal glands are also infected, it is better to abandonall hope of cure and leave the tracheotomy tube in or not, according toconditions. If d3^spnea is present at all,
Peroral endoscopy and laryngeal surgery . -ngectomylater, and if the glandular involvement is such that there is reason to be-. Fig. 490.—Plastic operation for repair of the esophagus after verj- extensiveesophageal resection at laryngectomy. The two upper flaps are turned epidermalsurface inward. Ordinarily the pharyngeal walls can lie drawn together withouttliese autoplastic dermal flaps. (After Molinie.) lieve that the mediastinal glands are also infected, it is better to abandonall hope of cure and leave the tracheotomy tube in or not, according toconditions. If d3^spnea is present at all, it is better to leave the tube in,for it will shortly be required, and it is better done early than late Theiiistologic examination of suspicious lymph nodes is always advisable. Ifa lymph node taken from near the upper thoracic aperture shows malig-nant involvement, laryngectomy is rarely, if ever, justifiable. The authorhas in a number of cases been able to discover malignant nodes along theside of the party wall, and in the mediastinum by esophagoscopy (q. v.).After-care. Antibechics and all opium derivatives must b
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
