A manual of operative surgery . wound in the skin is results of thyrotomy in malig-nant disease are alluded to in thesection (page 206) on the Results ofExcision of the Larynx. Thyrotomy for the removal ofpapillomata of the larynx has notbeen attended with much success,owing to the well-known tendency ofthese growths to recur. It is, more-over, open to the grave risk of damageto the vocal cords, and of removal, performed under direct visual exposurethrough a straight tube passed through the mouth, is preferable,even though it may have to be repeated several t
A manual of operative surgery . wound in the skin is results of thyrotomy in malig-nant disease are alluded to in thesection (page 206) on the Results ofExcision of the Larynx. Thyrotomy for the removal ofpapillomata of the larynx has notbeen attended with much success,owing to the well-known tendency ofthese growths to recur. It is, more-over, open to the grave risk of damageto the vocal cords, and of removal, performed under direct visual exposurethrough a straight tube passed through the mouth, is preferable,even though it may have to be repeated several times. Somesurgeons wholly condemn thyrotomy in this condition. Trache-otomy alone has been advocated by Dr. G. Hunter Mackenzie,Dr. Railton, of Manchester, Mr. George Wright, and others. Itwill be necessary for the child to wear the tracheotomy tube fora long period, and hence much difficulty may be met with inits subsequent removal. For these reasons we strongly adviseintralaryngeal removal over both tracheotomy and FIG. 290.—LARYNGEAL PAPIL-LOMA. CHAPTER VI EXCISION OF THE LARYNX The term laryngectomy has been applied to this; involves the removal of either the whole of the larynx (com-plete excision), or of a considerable portion of it—usually one-half (partial excision). The first complete excision of the larynx was performed by H. Watson in 1866, for stenosis of the larynx due to patient, a man aged thirty-six, died in three weeks (Trans. InternalMed. Congress, vol. hi., page 255, 1881). The first complete excision for carcinoma, and the second operationin point of time, was carried out by Billroth in 1873 (Archiv. f. , bd. xvii., page 343). Death took place from recurrence inseven months. The first unilateral or partial excision was performed by Billrothin 1878, for carcinoma of the left side of the larynx. Excisions of the larynx have since these dates been very frequentlycarried out. Amongst the valuable
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