Peroral endoscopy and laryngeal surgery . d that by persistence with the extirpation and alcohol ai)|)lications. itis possible ultimately to cure every case. There are a number of stenoticconditions such as scleroma that doubtless would be benefited by laryn-gostoniv, but the author has had no personal exjierience with tlu-m. 632 LARYNGOSTOMY. COHtraindicatwns. Pyrexia is an absolute contraindication. Activelues and active tuberculosis, local or elsewhere, do also. Bronchial andpulmonary disorders greatly increase the risks and if irremediable, theyare contraindications. Serious organic diseas
Peroral endoscopy and laryngeal surgery . d that by persistence with the extirpation and alcohol ai)|)lications. itis possible ultimately to cure every case. There are a number of stenoticconditions such as scleroma that doubtless would be benefited by laryn-gostoniv, but the author has had no personal exjierience with tlu-m. 632 LARYNGOSTOMY. COHtraindicatwns. Pyrexia is an absolute contraindication. Activelues and active tuberculosis, local or elsewhere, do also. Bronchial andpulmonary disorders greatly increase the risks and if irremediable, theyare contraindications. Serious organic disease anywhere is loss of laryngeal and tracheal cartilage will preclude a success-ful result. A purulent focus, as in the nasal accessory sinuses, increasesthe risk but is not an absolute contraindication. Ck H^ T Fig. 465.—Special rubber tube of Moure for laryngostomy. The tubular parts(L and T) are in the larynx and trachea, respectively, while the loops (M, M)project through the external wound to keep it Fig. 466.—Thosts apparatus for the dilatation of cicatricial laryngeal hard rubber plug, B, is inserted from below upward before the ordinarytracheal cannula, C, is inserted. Instntmcnts. Besides general operating instruments, the reciuisitesare a blunt pointed bistoury, Moures thyrotoniy shears or the turbino-tome (Fig. 467), small retractors, silk for suturing the mucosa to theskin. As in all external laryngeal surgery a small electric light, worn be-tween the operators eyes (not on top of the head) is essential. Theilluminating and the visual axes must almost coincide. For the post-operative dilatatory dressings, soft rubber tubing evenly graduated in LARYNGOSTOMY. 0:5:3 sizes from ].) to French scale sizes is needed. These are unobtainablein drainage tubinjj, but veterinary catheters answer admirably. Thesetubes must be cut in length to suit the case, the cut edges being roundedwith sand paper or by singeing in the flame
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectrespira, bookyear1915
