laryngostomy

[307] _Laryngostomy_ consists in a midline division of the laryngeal and tracheal cartilages as low as the tracheotomic fistula, excision of thick cicatricial tissue, very cautious incision of the scar tissue on the posterior wall, if necessary, and the placing of the author's laryngostomy tube for dilatation (Fig. 109).

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Necrotic cartilage is best treated by laryngostomy.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Cured by laryngostomy; failure to form adventitious band (Fig. 7) because of lack of arytenoid activity.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

_Endoscopic evisceration of the larynx_ will cure a few cases of laryngeal cicatricial stenosis, and should be tried before resorting to laryngostomy.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

When dilatation and healing have taken place, the laryngostomy wound in the neck is closed by a plastic operation to convert the trough into a trachea by supplying an anterior wall.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Should the pulmonary and laryngeal tuberculosis be fortunately cured, leaving, however, a cicatricial stenosis of the larynx, decannulation may be accomplished by laryngostomy.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Over the upward branch of the laryngostomy tube is slipped a piece of rubber tubing which is in turn anchored to the tape carrier by braided silk thread.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

The excellent results from the method described in the foregoing paragraph has relegated laryngostomy to those cases that come in with a severe cicatricial stenosis from an injudicious laryngofissure; and even in these cases cure of the stenosis as well as the papillomata can usually be obtained by endoscopic methods alone, using superficial scalping off of the papillomata with subsequent laryngoscopic bouginage for the stenosis.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Prolonged stretching with oversized intubation tubes following excision or cauterization may sometimes be successful, but laryngostomy is usually required to combat the vicious contraction of luetic cicatrices.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Formerly laryngostomy was recommended as a last resort when all other means had failed.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911