Surgical therapeutics and operative technique . t of reddish-tinted cauliflower,passing into a condition of fungating ulceration. Sarcoma, on the contrary,presents the appearance of a roundish projection covered with a healthymucous membrane. The surgical treatment of cancer of the larynx has entered on a newphase since the discovery of thermic electro-coagulation, wliich enables usto destroy localized cancerous lesions with very little risk of recurrence. 222 SURGICAL THEEAPEUTICS AND OPERATIVE TECHNIQUE Technique of Operations on the Larynx. Operations on the larynx include— 1. Intervention
Surgical therapeutics and operative technique . t of reddish-tinted cauliflower,passing into a condition of fungating ulceration. Sarcoma, on the contrary,presents the appearance of a roundish projection covered with a healthymucous membrane. The surgical treatment of cancer of the larynx has entered on a newphase since the discovery of thermic electro-coagulation, wliich enables usto destroy localized cancerous lesions with very little risk of recurrence. 222 SURGICAL THEEAPEUTICS AND OPERATIVE TECHNIQUE Technique of Operations on the Larynx. Operations on the larynx include— 1. Intervention carried out through the natural passages. 2. Surgical operations. Interventions through the Natural Passages.^—These interventions arecarried out with the aid of the laryngoscope. We have already studiedboth the laryngoscopy with reflected hght and inverted image, and the directlaryngoscopy. Only the minor interventions are carried out tln:ough thenatural passages—removal of foreign bodies, cauterizations, extractions ofsmall polypi. •. Fig. 359.—Instruments for Laryngo-Tracheotomy. From right to left, and from below upwards: Two bistouries, two strong straightscissors, six forceps with short jaws and claws, six ring-handled forceps with nineoblique claws, four forceps with oval jaws, three long curved forceps, and afourth with more pronounced curve for passing ligatures. Above: Two clawedforceps, two short forceps for veins, six Champonnieres haemostatic forceps,six needle-holder forceps with short hollow jaws, two needle-holder forceps witheccentric jaws, needles, glass drainage-tubes. In the middle: Two strong hookedforceps with six clasps, for tracheotomy. Highest row: Four cannulse withKrishaber mandrils, twelve hooked forceps, two mounted needles, two clasp-holders forceps and metallic clasps, two forceps with oval eccentric jaws. OPERATIONS ON THE NECK 223 Surgical Operations.—Operations on the larynx include laryngotomyand extirpation of the larynx. I will h
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