Peroral endoscopy and laryngeal surgery . - planned surgical meas- DIRECT LARYNGOSCOPY IN DISEASES OF THE LARYNX. 4(jl iircs in selected cases have yielded excellent results. As stated by (Bib. 100)—When the larynx is involved a vicious circle oc-curs, in which the dysphagia, sleeplessness, and cough produced by thepainful lesion markedly increase the rapidity of the progression of thelung condition. The judicious removal by surgical methods of painfullesions undoubtedly relieves jiain, and vig(jrous methods with careful re-search are needed to attack the much-dreaded laryngeal tuberc
Peroral endoscopy and laryngeal surgery . - planned surgical meas- DIRECT LARYNGOSCOPY IN DISEASES OF THE LARYNX. 4(jl iircs in selected cases have yielded excellent results. As stated by (Bib. 100)—When the larynx is involved a vicious circle oc-curs, in which the dysphagia, sleeplessness, and cough produced by thepainful lesion markedly increase the rapidity of the progression of thelung condition. The judicious removal by surgical methods of painfullesions undoubtedly relieves jiain, and vig(jrous methods with careful re-search are needed to attack the much-dreaded laryngeal Extirpation of tuberculous laryngeal lesions. When small and iso-lated, extirpation of the entire lesion may _\ield excellent results as inthe following case: A girl of eighteen years, referred by Dr. !,. L. Calhoun for increas-ing hoarseness of some months duration. Indirect larj-ngoscopy showeda small projection from the right cord (A, Fig. 403) which looked like. Fig. 40,3.—Case of extirpation of a small isolated laryngeal tiilifrcuknis nodule,in a girl of eighteen years. .\ Growth on right cord thought to be of inllamma-tory origin hut later proven tuberculous. B. One week after the cordon the operated side does not seem to be drawn tense in attempted Two weeks after operation phonation is perfect. D. Larynx on inspirationlive years after operation. a singers node. As a rule the author does not favor the removal ofsingers nodules, but as this was one-sided and was clearly the cause ofthe hoarseness, the author yielded to the patients demand that the growthhe excised in order to restore the voice promptly to enable the patientto finish her years contract as a singing teacher. The growth was re-moved by direct laryngoscopy with very hapi)y results as regards Ernest W. Willetts reported the growth to be undoubtedly tuber-culous. This diagnosis was subsetiuently confirmed by physical exam-ination and by the f
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
