Tracheotomy in chronic disease of the larynx / by Lennox Browne.

  • Lennox Browne
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Tracheotomy in chronic disease of the larynx / by Lennox Browne. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    18/18 page 16
    4. It is to be performed in aute/na, occurring during the course of a syphilitic laryngitis, only after constitutional and local treatment have failed ; and when performed for such a condition there is a fair chance that the tube may after a time be dispensed with. The high operation is usually sufficient. Tracheotomy is preferable to attemps at dilatation in the case of syphilitic stenoses, and the tube has generally to be retained for life. Not unfrequently the operation fails on account of inability to reach the seat of stricture, and the trachea should therefore be opened at the lowest possible point. 5. The operation may be necessary in benign growths of the larynx, and, when indicated, is better performed early and at the high situation. 6. Early tracheotomy is strongly advocated in malignant disease of the larynx as the safest and surest means of prolonging com- fortable life, and in this respect is superior to attempts at radical extirpation. From the tendency of malignant disease to spread downwards the windpipe should be opened at the lowest position attainable. 7. Tracheotomy is necessary in cases of bilateral paralysis of abduction, and should not be delayed if treatment fails to arrest the progress of the disease. For these cases the high operation is indicated. It is seldom successful in cases of dyspnoea, caused by pressure low down in the trachea, and when attempted the low situ&ion must of course be selected.
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