Diseases of the nose and throat; a text-book for students and practitioners . Fig. 127.—Schrottkrs Universal Handle with Various Tips grasped and a portion or all removed by gentle traction. If asnare be used, the loop must be passed around the growth and,when in position, tightened and withdrawn. Mackenzies TREATMENT OF BENIGN NEOPLASMS OF THE LARYNX. 467 guarded wheel-ecraseur may be employed in the same curette can be used for the removal of tumors situated uponthe upper surface of the vocal bands. If the growth be small*pedunculated, and situated on the free edge of the vocal band
Diseases of the nose and throat; a text-book for students and practitioners . Fig. 127.—Schrottkrs Universal Handle with Various Tips grasped and a portion or all removed by gentle traction. If asnare be used, the loop must be passed around the growth and,when in position, tightened and withdrawn. Mackenzies TREATMENT OF BENIGN NEOPLASMS OF THE LARYNX. 467 guarded wheel-ecraseur may be employed in the same curette can be used for the removal of tumors situated uponthe upper surface of the vocal bands. If the growth be small*pedunculated, and situated on the free edge of the vocal band,,it can sometimes be brushed off by passing a Voltolini spongeprobang through the glottis once or twice. In severe conditions, where possible, a rubber or metal in-tubation tube should be inserted, for the purpose of relievingdyspnoea and of causing pressure-absorption of part or all ofthe tumor. If this fail, a preliminary tracheotomy may be de-manded. As soon as the fever and inflammation subside, further. Fig. 12S.—Authors Modification of Schrottees Laryngeal Tube-Forceps. By means of this modification a collar is forced over the joint of the blades, closing the tips on a level with th«opened tips, thus avoiding the necessity of drawing the closing jaws away from the neoplasm. efforts should be made to remove the growth through thenatural passages (endo-laryngeal method). Should this not suc-ceed, the tracheotomy cannula is to be removed, and effortsmade to extirpate the growth with forceps or snare through theopening in the trachea. If again unsuccessful, the crico-thyroidmembrane should be divided and the efforts repeated, or thethyroid cartilage split directly in the median line (laryngotomyor thyrotomy). The thyroid plates are to be separated andevery part of the tumor removed with forceps, scissors, snare,knife, or cautery, according to indications. The cartilage is tobe re-united as accurately as possible; even then the voice isoften impaired. 468 DISEASES OF THE
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Keywords: ., bookcentury1800, bookdecade1890, bookpublisherph, booksubjectnose
